U.S. patent application number 16/719273 was filed with the patent office on 2020-06-25 for bispecific anti-muc16 x anti-cd28 antibodies and uses thereof.
The applicant listed for this patent is Regeneron Pharmaceuticals, Inc.. Invention is credited to Alison Crawford, Lauric Haber, Aynur Hermann, Andrew J. Murphy, Dimitris Skokos, Eric Smith, Erica Ullman, Janelle Waite, George D. Yancopoulos.
Application Number | 20200199233 16/719273 |
Document ID | / |
Family ID | 69182675 |
Filed Date | 2020-06-25 |
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United States Patent
Application |
20200199233 |
Kind Code |
A1 |
Murphy; Andrew J. ; et
al. |
June 25, 2020 |
BISPECIFIC ANTI-MUC16 X ANTI-CD28 ANTIBODIES AND USES THEREOF
Abstract
The present invention provides bispecific antigen-binding
molecules comprising a first antigen-binding domain that
specifically binds human CD28, and a second antigen-binding
molecule that specifically binds human MUC16. In certain
embodiments, the bispecific antigen-binding molecules of the
present invention are capable of inhibiting the growth of tumors
expressing MUC16, such as ovarian tumors. The antibodies and
bispecific antigen-binding molecules of the invention are useful
for the treatment of diseases and disorders in which an
up-regulated or induced targeted immune response is desired and/or
therapeutically beneficial.
Inventors: |
Murphy; Andrew J.;
(Croton-on-Hudson, NY) ; Skokos; Dimitris; (New
York, NY) ; Waite; Janelle; (Valley Stream, NY)
; Ullman; Erica; (Yorktown Heights, NY) ; Hermann;
Aynur; (New York, NY) ; Smith; Eric; (New
York, NY) ; Haber; Lauric; (Rye Brook, NY) ;
Yancopoulos; George D.; (Yorktown Heights, NY) ;
Crawford; Alison; (Dobbs Ferry, NY) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
Regeneron Pharmaceuticals, Inc. |
Tarrytown |
NY |
US |
|
|
Family ID: |
69182675 |
Appl. No.: |
16/719273 |
Filed: |
December 18, 2019 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
|
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62815861 |
Mar 8, 2019 |
|
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62782142 |
Dec 19, 2018 |
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Current U.S.
Class: |
1/1 |
Current CPC
Class: |
C07K 2317/31 20130101;
A61K 39/3955 20130101; C07K 2317/565 20130101; C07K 2317/24
20130101; C07K 16/2809 20130101; A61K 2039/505 20130101; C07K
16/3069 20130101; A61P 35/00 20180101; C07K 2317/33 20130101; A61K
2039/507 20130101; C07K 2317/92 20130101; C07K 16/2818 20130101;
C07K 16/3092 20130101; C07K 2317/734 20130101 |
International
Class: |
C07K 16/28 20060101
C07K016/28; A61P 35/00 20060101 A61P035/00; C07K 16/30 20060101
C07K016/30; A61K 39/395 20060101 A61K039/395 |
Claims
1.-54. (canceled)
55. A bispecific antigen-binding molecule comprising a first
antigen-binding domain that specifically binds human CD28, and a
second antigen-binding domain that specifically binds human
MUC16.
56. The bispecific antigen-binding molecule of claim 55, wherein
the antigen-binding molecule binds to CD28-expressing human T-cells
with an EC.sub.50 value of between 1.times.10.sup.-12M to
10.times.10.sup.-6M.
57. The bispecific antigen-binding molecule of claim 56, wherein
the antigen-binding molecule binds to CD28-expressing human T-cells
with an EC.sub.50 value of between 1.times.10.sup.-9 M to
10.times.10.sup.-6M.
58. The bispecific antigen-binding molecule of claim 55, wherein
the antigen-binding molecule binds human cells expressing human
CD28 and cynomolgus monkey cells expressing cynomolgus CD28.
59. The bispecific antigen-binding molecule of claim 55, wherein
the antigen-binding molecule induces cytokine release and CD25
up-regulation in human whole blood.
60. The bispecific antigen-binding molecule of claim 55, wherein
the antigen-binding molecule induces T-cell mediated cytotoxicity
of human ovarian cancer cells.
61. The bispecific antigen-binding molecule of claim 55, wherein
the first antigen-binding domain that specifically binds human CD28
comprises the heavy chain complementarity determining regions
(HCDR1, HCDR2 and HCDR3) from a heavy chain variable region (HCVR)
comprising an amino acid sequence selected from the group
consisting of SEQ ID NOs: 18 and 42, and the light chain
complementarity determining regions (LCDR1, LCDR2 and LCDR3) from a
light chain variable region (LCVR) comprising an amino acid
sequence selected from the group consisting of SEQ ID NOs: 10 and
34.
62. The bispecific antigen-binding molecule of claim 55, wherein
the second antigen-binding domain that specifically binds human
MUC16 comprises the heavy chain complementarity determining regions
(HCDR1, HCDR2 and HCDR3) from a heavy chain variable region (HCVR)
comprising SEQ ID NOs: 2 and 26, and the light chain
complementarity determining regions (LCDR1, LCDR2 and LCDR3) from a
light chain variable region (LCVR) comprising an amino acid
sequence selected from the group consisting of SEQ ID NOs: 10 and
34.
63. The bispecific antigen-binding molecule of claim 55, wherein
the first antigen-binding domain that specifically binds human CD28
comprises three heavy chain complementarity determining regions
(HCDR1, HCDR2 and HCDR3) and three light chain complementarity
determining regions (LCDR1, LCDR2 and LCDR3), wherein HCDR1
comprises an amino acid sequence selected from the group consisting
of SEQ ID NOs: 20 and 44; wherein HCDR2 comprises an amino acid
sequence selected from the group consisting of SEQ ID NOs: 22 and
46; wherein HCDR3 comprises an amino acid sequence selected from
the group consisting of SEQ ID NOs: 24 and 48, wherein LCDR1
comprises an amino acid sequence selected from the group consisting
of SEQ ID Nos: 12 and 36 wherein LCDR2 comprises an amino acid
sequence selected from the group consisting of SEQ ID NOs: 14 and
38 and wherein LCDR3 comprises an amino acid sequence selected from
the group consisting of SEQ ID Nos: 16 and 40.
64. The bispecific antigen-binding molecule of claim 55, wherein
the second antigen-binding domain that specifically binds human
MUC16 comprises three heavy chain complementarity determining
regions (HCDR1, HCDR2 and HCDR3) and three light chain
complementarity determining regions (LCDR1, LCDR2 and LCDR3),
wherein HCDR1 comprises an amino acid sequence selected from the
group consisting of SEQ ID NOs: 4 and 28; wherein HCDR2 comprises
an amino acid sequence selected from the group consisting of SEQ ID
NOs: 6 and 30; wherein HCDR3 comprises an amino acid sequence
selected from the group consisting of SEQ ID NOs: 8 and 32, wherein
LCDR1 comprises an amino acid sequence selected from the group
consisting of SEQ ID Nos: 12 and 36, wherein LCDR2 comprises an
amino acid sequence selected from the group consisting of SEQ ID
NOs: 14 and 38 and wherein LCDR3 comprises an amino acid sequence
selected from the group consisting of SEQ ID NOs: 16 and 40.
65. The bispecific antigen-binding molecule of claim 55, wherein
the first antigen-binding domain that specifically binds human CD28
comprises three heavy chain complementarity determining regions
(HCDR1, HCDR2 and HCDR3) and three light chain complementarity
determining regions (LCDR1, LCDR2 and LCDR3), and wherein the
second antigen-binding domain that specifically binds human MUC16
comprises three heavy chain complementarity determining regions
(HCDR1, HCDR2 and HCDR3) and three light chain complementarity
determining regions (LCDR1, LCDR2 and LCDR3); wherein the first
antigen-binding domain comprises a HCDR1 comprising an amino acid
sequence selected from the group consisting of SEQ ID NOs: 20 and
44; wherein HCDR2 comprises an amino acid sequence selected from
the group consisting of SEQ ID NOs: 22 and 46; wherein HCDR3
comprises an amino acid sequence selected from the group consisting
of SEQ ID NOs: 24 and 48, wherein LCDR1 comprises an amino acid
sequence selected from the group consisting of SEQ ID NOs: 12 and
36, wherein LCDR2 comprises an amino acid sequence selected from
the group consisting of SEQ ID NOs: 14 and 38 and wherein LCDR3
comprises an amino acid sequence selected from the group consisting
of SEQ ID NOs: 16 and 40; and wherein the second antigen-binding
domain comprises a HCDR1 comprising the amino acid sequence
selected from the group consisting of SEQ ID NOs: 4 and 28, wherein
HCDR2 comprises the amino acid sequence selected from the group
consisting of SEQ ID NOs: 6 and 30, wherein HCDR3 comprises the
amino acid sequence selected from the group consisting of SEQ ID
NOs: 8 and 32, wherein LCDR1 comprises an amino acid sequence
selected from the group consisting of SEQ ID NOs: 12 and 36,
wherein LCDR2 comprises an amino acid sequence selected from the
group consisting of SEQ ID NOs: 14 and 38 and wherein LCDR3
comprises an amino acid sequence selected from the group consisting
of SEQ ID NOs: 16 and 40.
66. The bispecific antigen-binding molecule of claim 55, wherein
the first antigen-binding domain competes for binding to human CD28
with a reference antigen binding protein comprising three heavy
chain complementarity determining regions (HCDR1, HCDR2 and HCDR3)
and three light chain complementarity determining regions (LCDR1,
LCDR2 and LCDR3), wherein HCDR1 comprises an amino acid sequence
selected from the group consisting of SEQ ID NOs: 20 and 44;
wherein HCDR2 comprises an amino acid sequence selected from the
group consisting of SEQ ID NOs: 22 and 46; wherein HCDR3 comprises
an amino acid sequence selected from the group consisting of SEQ ID
NOs: 24 and 48, wherein LCDR1 comprises an amino acid sequence
selected from the group consisting of SEQ ID NOs: 12 and 36,
wherein LCDR2 comprises an amino acid sequence selected from the
group consisting of SEQ ID NOs: 14 and 38 and wherein LCDR3
comprises an amino acid sequence selected from the group consisting
of SEQ ID NOs: 16 and 40.
67. The bispecific antigen-binding molecule of claim 55, wherein
the first antigen-binding domain competes for binding to human CD28
with a reference antigen binding protein comprising a heavy chain
variable region (HCVR) comprising an amino acid sequence selected
from the group consisting of SEQ ID NOs: 18 and 42, and a light
chain variable region (LCVR) comprising an amino acid sequence
selected from the group consisting of SEQ ID NOs: 10 and 34.
68. The bispecific antigen-binding molecule of claim 55, wherein
the second antigen-binding domain competes for binding to human
MUC16 with a reference antigen binding protein comprising three
heavy chain complementarity determining regions (HCDR1, HCDR2 and
HCDR3) and three light chain complementarity determining regions
(LCDR1, LCDR2 and LCDR3), wherein HCDR1 comprises the amino acid
sequence selected from the group consisting of SEQ ID NOs: 4 and
28, wherein HCDR2 comprises the amino acid sequence selected from
the group consisting of SEQ ID NOs: 6 and 30, wherein HCDR3
comprises the amino acid sequence selected from the group
consisting of SEQ ID NOs: 8 and 32, wherein LCDR1 comprises an
amino acid sequence selected from the group consisting of SEQ ID
NOs: 12 and 36, wherein LCDR2 comprises an amino acid sequence
selected from the group consisting of SEQ ID NOs: 14 and 38 and
wherein LCDR3 comprises an amino acid sequence selected from the
group consisting of SEQ ID NOs: 16 and 40.
69. The bispecific antigen-binding molecule of claim 55, wherein
the second antigen-binding domain competes for binding to human
MUC16 with a reference antigen binding protein comprising a heavy
chain variable region (HCVR) comprising an amino acid sequence
selected from the group consisting of SEQ ID NOs: 2 and 26, and a
light chain variable region (LCVR) comprising an amino acid
sequence selected from the group consisting of SEQ ID NOs: 10 and
34.
70. The bispecific antigen-binding molecule of claim 55, wherein
the first antigen-binding domain competes for binding to human CD28
with a reference antigen binding protein comprising a heavy chain
variable region (HCVR) comprising an amino acid sequence selected
from the group consisting of SEQ ID NOs: 18 and 42, and a light
chain variable region (LCVR) comprising an amino acid sequence
selected from the group consisting of SEQ ID NOs: 10 and 34 and
wherein the second antigen-binding domain competes for binding to
human MUC16 with a reference antigen-binding protein comprising a
heavy chain variable region (HCVR) comprising the amino acid
sequence selected from the group consisting of SEQ ID NOs: 2 and
26, and a light chain variable region (LCVR) comprising an amino
acid sequence selected from the group consisting of SEQ ID NOs: 10
and 34.
71. A bispecific antigen-binding molecule comprising a first
antigen-binding domain that specifically binds human CD28, and a
second antigen-binding domain that specifically binds human MUC16,
wherein the first antigen-binding domain comprises a heavy chain
variable region (HCVR) comprising SEQ ID NO: 18, and a light chain
variable region (LCVR) comprising SEQ ID NO: 10; and wherein the
second antigen-binding domain comprises a HCVR comprising SEQ ID
NO: 2, and a LCVR comprising SEQ ID NO: 10.
72. A bispecific antigen-binding molecule comprising a first
antigen-binding domain that specifically binds human CD28, and a
second antigen-binding domain that specifically binds human MUC16,
wherein the first antigen-binding domain comprises a heavy chain
variable region (HCVR) comprising SEQ ID NO: 42, and a light chain
variable region (LCVR) comprising SEQ ID NO: 34; and wherein the
second antigen-binding domain comprises a HCVR comprising SEQ ID
NO: 26, and a LCVR comprising SEQ ID NO: 34.
73. A pharmaceutical composition comprising the bispecific
antigen-binding molecule of claim 55 and a pharmaceutically
acceptable carrier or diluent.
74. The pharmaceutical composition of claim 73 further comprising a
checkpoint inhibitor.
75. The pharmaceutical composition of claim 74, wherein the
checkpoint inhibitor is selected from the group consisting of
pembrolizumab, nivolumab and cemiplimab.
76. The pharmaceutical composition of claim 75, wherein the
checkpoint inhibitor is cemiplimab.
77. The pharmaceutical composition of claim 73 further comprising
another different bispecific antigen-binding molecule comprising a
first antigen-binding domain that binds to the same tumor target
antigen and a second antigen-binding domain that binds to CD3 on T
cells.
78. A method for treating a cancer in a subject, the method
comprising administering to the subject the pharmaceutical
composition of claim 73.
79. The method of claim 78, wherein the cancer is a MUC16
expressing cancer.
80. The method of claim 79, wherein the MUC16 expressing cancer is
selected from the group consisting of ovarian cancer, breast
cancer, endometrial cancer, pancreatic cancer, non-small-cell lung
cancer, intrahepatic cholangiocarcinoma-mass forming type,
adenocarcinoma of the uterine cervix, and adenocarcinoma of the
gastric tract.
81. The method of claim 80, wherein the cancer is ovarian
cancer.
82. The method of claim 78, further comprising administering a
second therapeutic agent to the subject.
83. The method of claim 82, wherein the second therapeutic agent is
an anti-tumor agent, radiotherapy, an antibody drug conjugate, a
checkpoint inhibitor, another different bispecific antibody
comprising a first antigen-binding domain that binds to the same
tumor target antigen and a second antigen-binding domain that binds
to CD3 on T cells, or combinations thereof.
84. The method of claim 83, wherein the checkpoint inhibitor is
cemiplimab.
85. The method of claim 83, wherein the different bispecific
antibody comprises a first antigen-binding domain that binds to
MUC16 and a second antigen-binding domain that binds to CD3 on T
cells.
Description
RELATED APPLICATIONS
[0001] This application is related to and claims priority of U.S.
Provisional Application No. 62/782,142, filed on Dec. 19, 2018, and
U.S. Provisional Application No. 62/815,861, filed on Mar. 8, 2019.
The entire contents of the foregoing applications are expressly
incorporated herein by reference.
SEQUENCE LISTING
[0002] The instant application contains a Sequence Listing which
has been submitted electronically in ASCII format and is hereby
incorporated by reference in its entirety. Said ASCII copy, created
on Dec. 18, 2019, is named 118003_49303.txt and is 38,372 bytes in
size.
FIELD OF THE INVENTION
[0003] The present invention relates to bispecific antigen-binding
molecules that bind CD28 and a target molecule such as MUC16, and
methods of use thereof.
BACKGROUND
[0004] CD28 is a type I transmembrane protein, which has a single
extracellular Ig-V-like domain assembled as a homodimer and which
is expressed on the surface of T cells. CD28 is the receptor for
the CD80 (B7.1) and CD86 (B7.2) proteins and is activated by CD80
or CD86 expressed on antigen-presenting cells (APCs). The binding
of CD28 to CD80 or CD86 provides co-stimulatory signals important
for T cell activation and survival. T cell stimulation through
CD28, in addition to the T-cell receptor (TCR), provides a potent
signal for the production of various interleukins. CD28 also
potentiates cellular signals such as pathways controlled by the
NF.kappa.B transcription factor after TCR activation. The CD28
co-signal is important for effective T-cell activation such as T
cell differentiation, proliferation, cytokine release and
cell-death.
[0005] Anti-CD28 antibodies have been proposed for therapeutic
purposes involving the activation of T cells. One particular
anti-CD28 antibody, TGN1412 (anti-CD28 superagonist), was used in a
clinical trial in 2006. Six healthy volunteers were dosed
intravenously with TGN1412 (anti-CD28 superagonist) at a dose of
0.1 mg/kg. Within two hours, all six patients had significant
inflammatory responses (cytokine storm), and all patients were in
multi-organ failure within sixteen hours. Subjects were treated
with corticosteroids, and cytokine levels returned to normal within
2-3 days. The starting dose of 0.1 mg/kg in a Phase 1 study was
based on a 500-fold multiple of the
no-observed-adverse-effect-level ("NOAEL") of 50 mg/kg in
cynomolgus monkeys (Suntharalingam, et al., Cytokine Storm in a
Phase 1 Trial of the Anti-CD28 Monoclonal Antibody TGN1412, NEJM
355:1018-1028 (2006)). Unfortunately, the cytokine storm induced by
TGN1412 was not predicted by toxicology studies in cynomolgus
macaques or in ex vivo human PBMC studies.
[0006] Mucin 16 (MUC16), also known as cancer antigen 125,
carcinoma antigen 125, carbohydrate antigen 125, or CA-125, is a
highly glycosylated integral membrane glycoprotein. MUC16 comprises
three major domains: an extracellular N-terminal domain, a large
tandem repeat domain interspersed with sea urchin sperm,
enterokinase, agrin (SEA) domains and a carboxyl terminal domain
that comprises a segment of the transmembrane region and a short
cytoplasmic tail. Proteolytic cleavage results in shedding of the
extracellular portion of MUC16 into the bloodstream. MUC16 is
overexpressed in cancers including ovarian cancer, breast cancer,
pancreatic cancer, non-small-cell lung cancer, intrahepatic
cholangiocarcinoma-mass forming type, adenocarcinoma of the uterine
cervix, and adenocarcinoma of the gastric tract, and in diseases
and conditions including inflammatory bowel disease, liver
cirrhosis, cardiac failure, peritoneal infection, and abdominal
surgery. (Haridas, D. et al., 2014, FASEB J., 28:4183-4199).
Expression of MUC16 on cancer cells has been shown to protect the
cancer cells from the immune system. (Felder, M. et al., 2014,
Molecular Cancer, 13:129).
[0007] Methods for treating ovarian cancer using antibodies to
MUC16 have been investigated. However, the monoclonal antibodies,
oregovomab and abgovomab, have had limited success. (Felder, supra,
Das, S. and Batra, S. K. 2015, Cancer Res. 75:4660-4674.)
Accordingly, there is a need in the art for improved MUC16
antibodies for treating cancer.
[0008] Furthermore, bispecific antigen-binding molecules that bind
both CD28 and a target antigen, such as MUC16, would be useful in
therapeutic settings in which specific targeting to tumor cells and
T cell mediated killing of cells that express the target antigen is
desired.
BRIEF SUMMARY OF THE INVENTION
[0009] In a first aspect, the present invention provides bispecific
antigen-binding molecules that bind CD28 and MUC16, also referred
to herein as "anti-CD28/anti-MUC16 bispecific molecules." The
anti-MUC16 portion of the anti-CD28/anti-MUC16 bispecific molecule
is useful for targeting tumor cells that express MUC16 (e.g.,
ovarian tumor cells), and the anti-CD28 portion of the bispecific
molecule is useful for activating T-cells. The simultaneous binding
of MUC16 on a tumor cell and CD28 on a T-cell facilitates directed
killing (cell lysis) of the targeted tumor cell by the activated
T-cell. The anti-CD28/anti-MUC16 bispecific molecules of the
invention are therefore useful, inter alia, for treating diseases
and disorders related to or caused by MUC16-expressing tumors
(e.g., ovarian cancer).
[0010] The bispecific antigen-binding molecules according to this
aspect of the present invention comprise a first antigen-binding
domain that specifically binds human CD28, and a second
antigen-binding domain that specifically binds MUC16. The present
invention includes anti-CD28/anti-MUC16 bispecific molecules (e.g.,
bispecific antibodies) wherein each antigen-binding domain
comprises a heavy chain variable region (HCVR) paired with a light
chain variable region (LCVR). In certain exemplary embodiments of
the invention, the anti-CD28 antigen-binding domain and the
anti-MUC16 antigen binding domain each comprise different, distinct
HCVRs paired with a common LCVR.
[0011] The present invention provides anti-CD28/anti-MUC16
bispecific molecules, wherein the first antigen-binding domain that
specifically binds CD28 comprises any of the HCVR amino acid
sequences as set forth in Table 3. The first antigen-binding domain
that specifically binds CD28 may also comprise any of the LCVR
amino acid sequences as set forth in Table 3. According to certain
embodiments, the first antigen-binding domain that specifically
binds CD28 comprises any of the HCVR/LCVR amino acid sequence pairs
as set forth in Table 3. The present invention also provides
anti-CD28/anti-MUC16 bispecific molecules, wherein the first
antigen-binding domain that specifically binds CD28 comprises any
of the heavy chain CDR1-CDR2-CDR3 amino acid sequences as set forth
in Table 3, and/or any of the light chain CDR1-CDR2-CDR3 amino acid
sequences as set forth in Table 3.
[0012] According to certain embodiments, the present invention
provides anti-CD28/anti-MUC16 bispecific molecules, wherein the
first antigen-binding domain that specifically binds CD28 comprises
a heavy chain variable region (HCVR) having an amino acid sequence
selected from the group consisting of SEQ ID NOs: 18 and 42 or a
substantially similar sequence thereof having at least 90%, at
least 95%, at least 98% or at least 99% sequence identity.
[0013] The present invention also provides anti-CD28/anti-MUC16
bispecific molecules, wherein the first antigen-binding domain that
specifically binds CD28 comprises a light chain variable region
(LCVR) having an amino acid sequence selected from the group
consisting of SEQ ID NOs: 10 and 34, or a substantially similar
sequence thereof having at least 90%, at least 95%, at least 98% or
at least 99% sequence identity.
[0014] The present invention also provides anti-CD28/anti-MUC16
bispecific molecules, wherein the first antigen-binding domain that
specifically binds CD28 comprises a HCVR and LCVR (HCVR/LCVR) amino
acid sequence pair selected from the group consisting of SEQ ID
NOs: 18/10 and 42/34.
[0015] The present invention also provides anti-CD28/anti-MUC16
bispecific molecules, wherein the first antigen-binding domain that
specifically binds CD28 comprises a heavy chain CDR3 (HCDR3) domain
having an amino acid sequence selected from the group consisting of
SEQ ID NOs: 24 and 48, or a substantially similar sequence thereto
having at least 90%, at least 95%, at least 98% or at least 99%
sequence identity; and a light chain CDR3 (LCDR3) domain having an
amino acid sequence selected from the group consisting of SEQ ID
NOs: 16 and 40, or a substantially similar sequence thereof having
at least 90%, at least 95%, at least 98% or at least 99% sequence
identity.
[0016] In certain embodiments, the first antigen-binding domain
that specifically binds CD28 comprises a HCDR3/LCDR3 amino acid
sequence pair selected from the group consisting of SEQ ID NOs:
24/16 and 48/40.
[0017] The present invention also provides anti-CD28/anti-MUC16
bispecific antigen-binding molecules, wherein the first
antigen-binding domain that specifically binds CD28 comprises a
heavy chain CDR1 (HCDR1) domain having an amino acid sequence
selected from the group consisting of SEQ ID NOs: 20 and 44, or a
substantially similar sequence thereof having at least 90%, at
least 95%, at least 98% or at least 99% sequence identity; a heavy
chain CDR2 (HCDR2) domain having an amino acid sequence selected
from the group consisting of SEQ ID NOs: 22 and 46, or a
substantially similar sequence thereof having at least 90%, at
least 95%, at least 98% or at least 99% sequence identity; a light
chain CDR1 (LCDR1) domain having an amino acid sequence selected
from the group consisting of SEQ ID NOs: 12 and 36, or a
substantially similar sequence thereof having at least 90%, at
least 95%, at least 98% or at least 99% sequence identity; and a
light chain CDR2 (LCDR2) domain having an amino acid sequence
selected from the group consisting of SEQ ID NOs: 14 and 38, or a
substantially similar sequence thereof having at least 90%, at
least 95%, at least 98% or at least 99% sequence identity.
[0018] Certain non-limiting, exemplary anti-CD28/anti-MUC16
bispecific antigen-binding molecules of the invention include a
first antigen-binding domain that specifically binds CD28
comprising HCDR1-HCDR2-HCDR3-LCDR1-LCDR2-LCDR3 domains,
respectively, having the amino acid sequence selected from the
group consisting of: SEQ ID NOs: 20-22-24-12-14-16 and
44-46-48-36-38-40.
[0019] The present invention also provides anti-CD28/anti-MUC16
bispecific molecules, wherein the second antigen-binding domain
that specifically binds MUC16 comprises a heavy chain variable
region (HCVR) having the amino acid sequence selected from the
group consisting SEQ ID NOs: 2 and 26, or a substantially similar
sequence thereof having at least 90%, at least 95%, at least 98% or
at least 99% sequence identity.
[0020] The present invention also provides anti-CD28/anti-MUC16
bispecific molecules, wherein the second antigen-binding domain
that specifically binds MUC16 comprises a light chain variable
region (LCVR) having the amino acid sequence selected from the
group consisting of SEQ ID NOs: 10 and 34, or a substantially
similar sequence thereof having at least 90%, at least 95%, at
least 98% or at least 99% sequence identity.
[0021] The present invention also provides anti-CD28/anti-MUC16
bispecific molecules, wherein the second antigen-binding domain
that specifically binds MUC16 comprises a HCVR and LCVR (HCVR/LCVR)
amino acid sequence pair selected from the group consisting of SEQ
ID NOs: 2/10 and 26/34.
[0022] The present invention also provides anti-CD28/anti-MUC16
bispecific molecules, wherein the second antigen-binding domain
that specifically binds MUC16 comprises a heavy chain CDR3 (HCDR3)
domain having the amino acid sequence selected from the group
consisting of SEQ ID NOs: 8 and 32, or a substantially similar
sequence thereto having at least 90%, at least 95%, at least 98% or
at least 99% sequence identity; and a light chain CDR3 (LCDR3)
domain having an amino acid sequence selected from the group
consisting of SEQ ID NOs: 16 and 40, or a substantially similar
sequence thereof having at least 90%, at least 95%, at least 98% or
at least 99% sequence identity.
[0023] In certain embodiments, the second antigen-binding domain
that specifically binds MUC16 comprises a HCDR3/LCDR3 amino acid
sequence pair selected from the group consisting of SEQ ID NOs:
8/16 and 32/40.
[0024] The present invention also provides anti-CD28/anti-MUC16
bispecific antigen-binding molecules, wherein the second
antigen-binding domain that specifically binds MUC16 comprises a
heavy chain CDR1 (HCDR1) domain having the amino acid sequence
selected from the group consisting of SEQ ID NOs: 4 and 28, or a
substantially similar sequence thereof having at least 90%, at
least 95%, at least 98% or at least 99% sequence identity; a heavy
chain CDR2 (HCDR2) domain having the amino acid sequence selected
from the group consisting of SEQ ID NOs: 6 and 30, or a
substantially similar sequence thereof having at least 90%, at
least 95%, at least 98% or at least 99% sequence identity; a light
chain CDR1 (LCDR1) domain having an amino acid sequence selected
from the group consisting of SEQ ID NOs: 12 and 36, or a
substantially similar sequence thereof having at least 90%, at
least 95%, at least 98% or at least 99% sequence identity; and a
light chain CDR2 (LCDR2) domain having an amino acid sequence
selected from the group consisting of SEQ ID NOs: 14 and 38, or a
substantially similar sequence thereof having at least 90%, at
least 95%, at least 98% or at least 99% sequence identity.
[0025] Certain non-limiting, exemplary anti-CD28/anti-MUC16
bispecific antigen-binding molecules of the invention include a
second antigen-binding domain that specifically binds MUC16
comprising HCDR1-HCDR2-HCDR3-LCDR1-LCDR2-LCDR3 domains,
respectively, having the amino acid sequences selected from the
group consisting of: SEQ ID NOs: 4-6-8-12-14-16 and
28-30-32-36-38-40.
[0026] In a related embodiment, the invention includes
anti-CD28/anti-MUC16 bispecific antigen binding molecules wherein
the second antigen-binding domain that specifically binds MUC16
comprises the heavy and light chain CDR domains contained within
heavy and light chain variable region (HCVR/LCVR) sequences
selected from the group consisting of SEQ ID NOs: 2/10 and
26/34.
[0027] In another aspect, the present invention provides nucleic
acid molecules encoding any of the HCVR, LCVR or CDR sequences of
the anti-CD28/anti-MUC16 bispecific antigen-binding molecules
disclosed herein, including nucleic acid molecules comprising the
polynucleotide sequences as set forth in Table 2 and/or Table 4
herein, as well as nucleic acid molecules comprising two or more of
the polynucleotide sequences as set forth in Table 2 and/or Table 4
in any functional combination or arrangement thereof. Recombinant
expression vectors carrying the nucleic acids of the invention, and
host cells into which such vectors have been introduced, are also
encompassed by the invention, as are methods of producing the
antibodies by culturing the host cells under conditions permitting
production of the antibodies, and recovering the antibodies
produced.
[0028] The present invention includes anti-CD28/anti-MUC16
bispecific antigen-binding molecules wherein any of the
aforementioned antigen-binding domains that specifically bind CD28
is combined, connected or otherwise associated with any of the
aforementioned antigen binding domains that specifically bind MUC16
to form a bispecific antigen-binding molecule that binds CD28 and
MUC16.
[0029] The present invention includes anti-CD28/anti-MUC16
bispecific antigen-binding molecules having a modified
glycosylation pattern. In some applications, modification to remove
undesirable glycosylation sites may be useful, or an antibody
lacking a fucose moiety present on the oligosaccharide chain, for
example, to increase antibody dependent cellular cytotoxicity
(ADCC) function (see Shield et al. (2002) JBC 277:26733). In other
applications, modification of galactosylation can be made in order
to modify complement dependent cytotoxicity (CDC).
[0030] In another aspect, the invention provides a pharmaceutical
composition comprising an anti-CD28/anti-MUC16 bispecific
antigen-binding molecule as disclosed herein and a pharmaceutically
acceptable carrier. In a related aspect, the invention features a
composition which is a combination of an anti-CD28/anti-MUC16
bispecific antigen-binding molecule and a second therapeutic agent.
In one embodiment, the second therapeutic agent is any agent that
is advantageously combined with an anti-CD28/anti-MUC16 bispecific
antigen-binding molecule. Exemplary agents that may be
advantageously combined with an anti-CD28/anti-MUC16 bispecific
antigen-binding molecule are discussed in detail elsewhere
herein.
[0031] In yet another aspect, the invention provides therapeutic
methods for targeting/killing tumor cells expressing MUC16 using an
anti-CD28/anti-MUC16 bispecific antigen-binding molecule of the
invention, wherein the therapeutic methods comprise administering a
therapeutically effective amount of a pharmaceutical composition
comprising an anti-CD28/anti-MUC16 bispecific antigen-binding
molecule of the invention to a subject in need thereof.
[0032] The present invention also includes the use of an
anti-CD28/anti-MUC16 bispecific antigen-binding molecule of the
invention in the manufacture of a medicament for the treatment of a
disease or disorder related to or caused by MUC16 expression.
[0033] In yet another aspect, the invention provides therapeutic
methods for targeting/killing tumor cells expressing MUC16 using an
anti-CD28/anti-MUC16 bispecific antigen-binding molecule of the
invention, wherein the anti-CD28/anti-MUC16 bispecific
antigen-binding molecule is combined with other anti-tumor
bispecific antigen-binding molecules that bind to CD3 (e.g.,
anti-CD28/anti-MUC16 combined with anti-CD3/anti-MUC16
antibodies).
[0034] In still another aspect, the invention provides therapeutic
methods for targeting/killing tumor cells expressing MUC16 using an
anti-CD28/anti-MUC16 bispecific antigen-binding molecule of the
invention, wherein the anti-CD28/anti-MUC16 bispecific
antigen-binding molecule is combined with a checkpoint inhibitor
targeting, for example, PD-1, PD-L1 or CTLA-4 (e.g.,
anti-CD28/anti-MUC16 combined with anti-PD-1 antibodies). In
certain embodiments, it is envisioned that the anti-CD28/anti-MUC16
antibodies of the invention may be combined with agents that target
PD-1, such as Pembrolizumab (Keytruda.RTM.), Nivolumab
(Opdivo.RTM.), or Cemiplimab (Libtayo.RTM.). In certain
embodiments, it is envisioned that the anti-CD28/anti-MUC16
antibodies of the invention may be combined with agents that target
PD-L1, such as Atezolizumab (Tecentriq.RTM.), Avelumab
(Bavencio.RTM.), or Durvalumab (Imfinzi.RTM.). In certain
embodiments, it is envisioned that the anti-CD28/anti-MUC16
antibodies of the invention may be combined with agents that target
CTLA-4, such as Ipilimumab (Yervoy.RTM.).
[0035] In still another aspect, the invention provides therapeutic
methods for targeting/killing tumor cells expressing MUC16 using an
anti-CD28/anti-MUC16 bispecific antigen-binding molecule of the
invention, wherein the anti-CD28/anti-MUC16 bispecific
antigen-binding molecule is combined with other anti-tumor
bispecific antigen-binding molecules that binds to CD3 (e.g.,
anti-CD28/anti-MUC16 combined with anti-CD3/anti-MUC16 bispecific
antibodies) and a checkpoint inhibitor targeting PD-1, PDL-1 or
CTLA-4 (e.g., anti-CD28/anti-MUC16 combined with anti-PD-1
antibodies).
[0036] Other embodiments will become apparent from a review of the
ensuing detailed description.
BRIEF DESCRIPTION OF THE FIGURES
[0037] FIG. 1 is a graph showing tumor growth inhibition in
engineered cell lines with introduced co-stimulatory ligand
expression. Three tumor cell lines, B16F10.9, EL4, and MC38 were
engineered to express a co-stimulatory ligand, or GFP, or empty
vector as control. Engineered tumor cells were injected into
C57BL/6 mice Data represent average.+-.SEM. Data is representative
of at least one experiment with five (5) mice per group.
The graph shows tumor growth as the percentage of control
calculated as
Tumor Volume Tumor Volume of Control .times. 100 ##EQU00001##
[0038] FIGS. 2A to 2I are schematic and graphs showing that the
exemplary anti-MUC16xCD28 of the invention potentiate T cell action
in the presence of TCR stimulation by anti-MUC16xCD3 and cancer
cell lines with endogenous MUC16 (PEO1). FIGS. 2B to 2E are graphs
showing the data for human PBMC. FIGS. 2F to 2H are graphs showing
the data for cynomolgus monkey PBMC. Human T cells (for FIGS. 2B to
2E) or cynomolgus T cells (for FIGS. 2F to 2H) were cultured with
cancer target cells with endogenous MUC16 expression (ovarian
cancer line PEO-1) and the indicated bispecific antibodies for 96
hours.
[0039] FIG. 2A is a schematic of assay set up.
[0040] FIG. 2B is a graph showing the killing of tumor cells. The
value on Y axis refers to the percentage of viable PEO1 cell.
[0041] FIG. 2C is a graph showing IFN.gamma. release.
[0042] FIG. 2D is a graph showing CD4 T cell counts and frequency
of CD25.sup.+ cells, represented as percentage of CD25.sup.+ cells
in CD4 T cells.
[0043] FIG. 2E is a graph showing CD8 T cell counts and frequency
of CD25.sup.+ cells, represented as percentage of CD25.sup.+ cells
in CD8 T cells.
[0044] FIG. 2F is a graph showing the killing of tumor cells. The
value on Y axis refers to the percentage of viable PEO1 cell.
[0045] FIG. 2G is a graph showing CD4 T cell counts and frequency
of CD25.sup.+ cells, represented as percentage of CD25.sup.+ cells
in CD4 T cells.
[0046] FIG. 2H is a graph showing CD4 T cell counts and CD8 T cell
counts and frequency of CD25.sup.+ cells, represented as percentage
of CD25.sup.+ cells in CD4 T cells and CD8 T cells.
[0047] FIG. 2I is a graph showing antibody binding to cellular
targets measured by flow cytometry.
[0048] FIGS. 3A-3C are graphs showing that exemplary
anti-MUC16xCD28 bispecific antibodies of the present invention
enhances anti-tumor immunity by anti-MUC16xCD3 induced T cell
activation.
[0049] FIG. 3A is a graph showing tumor burden as measured by
average radiance (Avg Radiance [p/s/cm.sup.2/sr] over time. Values
represent the group median plus range. P values were calculated
with Mann Whitney test for each time point. *, p<0.05 or **,
p<0.01 for MUC16xCD3 and EGFRvIIIxCD3 comparison. ##, p<0.01
for MUC16xCD3+MUC16xCD28 and EGFRvIIIxCD3 comparison. Human PBMC
engrafted NSG mice were implanted with OVCAR3-Luc by
intraperitoneal injection. Mice were dosed with IV on Days 5 and 8
(arrows). Mice received either 2.5 .mu.g MUC16xCD3 or 2.5 .mu.g
EGFRvIIIxCD3. Some of the mice were also administered MUC16xCD28 at
100 .mu.g. Tumor burden was assessed by BLI on Days 4, 8, 12, 15,
20 and 25 post tumor implantation by monitoring bioluminescence
over time. N=5 mice per group
[0050] FIG. 3B provides graphs showing serum cytokine levels from
blood obtained at the 4 hours after the first dose from the same
experiments shown in FIG. 3A. P values were calculated with one-way
ANOVA. ##, p<0.01 or ####, p<0.0001 for MUC16xCD3+MUC16xCD28
and EGFRvIIIxCD3 comparison. @@@, p<0.005 for
MUC16xCD3+MUC16xCD28 and MUC16xCD3 comparison. {circumflex over (
)}, p<0.01, {circumflex over ( )}{circumflex over ( )},
p<0.005, {circumflex over ( )}{circumflex over ( )}{circumflex
over ( )}{circumflex over ( )}P<0.0001 for MUC16xCD3+MUC16xCD28
and EGFRvIIIxCD3+MUC16xCD28 comparison.
[0051] FIG. 3C provides graphs showing tumor burden and correlation
to CA-125 levels in serum on day 26. N=5 mice per group from the
same experiments shown in FIG. 3A.
[0052] FIG. 4A is a graph showing tumor burden as measured by
average radiance (Avg Radiance [p/s/cm.sup.2/sr] over time. Values
represent the group median plus range. P values were calculated
with Mann Whitney test for each time point. **, p<0.01 for
MUC16xCD3 and EGFRvIIIxCD3 comparison. ##, p<0.01 for
MUC16xCD3+MUC16xCD28 and EGFRvIIIxCD3 comparison. @, p<0.05 for
MUC16xCD3+MUC16xCD28 and MUC16xCD3 comparison. Human PBMC engrafted
NSG mice were implanted with OVCAR3-Luc by intraperitoneal
injection. Mice were treated IV with 0.5 mg/kg MUC16xCD3 or 0.5
mg/kg EGFRvIIIxCD3. Some of the mice were also administered
MUC16xCD28 at 0.2 mg/kg on Days 5 and 8 (arrows). Tumor burden was
assessed by BLI on Days 4, 8, 11, 14, 21, 28 and 34 by monitoring
bioluminescence over time. N=5 or 6 mice per group.
[0053] FIG. 4B provides graphs showing serum cytokine levels from
blood obtained at the 4 hours after the first dose from the same
experiments shown in FIG. 4A. P values were calculated with one-way
ANOVA. *, p<0.05 for MUC16xCD3 and EGFRvIIIxCD3 comparison ##,
p<0.01 or ###, p<0.001 or ####, p<0.0001 for
MUC16xCD3+MUC16xCD28 and EGFRvIIIxCD3 comparison. @, p<0.05 or
@@@@, p<0.0001 for MUC16xCD3+MUC16xCD28 and MUC16xCD3
comparison. {circumflex over ( )}{circumflex over ( )}, p<0.001
or {circumflex over ( )}{circumflex over ( )}{circumflex over (
)}O<0.001 or {circumflex over ( )}{circumflex over (
)}{circumflex over ( )}P<0.0001 for MUC16xCD3+MUC16xCD28 and
EGFRvIIIxCD3+MUC16xCD28 comparison.
[0054] FIG. 5 is a graph showing the survival over time.
ID8-VEGF/hMUC16 cells were implanted into the peritoneal cavity of
mice humanized for hCD3/hCD28/hMUC16. Mice were treated
intravenously with EGFRvIIIxCD3 or MUC16xCD3 at 1 mg/kg or days 3,
6, and 10 after tumor implantation, as indicated by arrows. Some
mice were also administered MUC16xCD28 at 1 mg/kg. P values were
calculated with Mantel-Cox test for each time point. **, p<0.01
for MUC16xCD3 and EGFRvIIIxCD3 comparison. ##, p<0.01 for
MUC16xCD3+MUC16xCD28 and EGFRvIIIxCD3 comparison. @, p<0.05 for
MUC16xCD3+MUC16xCD28 and MUC16xCD3 comparison.
[0055] FIG. 6A is a graph showing tumor volume over time.
MC38/hMUC16 tumor cells were implanted subcutaneously in
hCD3/hMUC16 humanized mice. Mice were treated with anti-MUC16xCD3
at 0.01 mg/kg, exemplary anti-MUC16xmCD28 bispecific antibody of
the invention at 0.5 mg/kg as indicated twice per week starting on
day 0 (arrows). Tumor volume was monitored by caliper measurement
over time. Values shown are the average.+-.SEM. Data are
representative of three (3) experiments. N=7 mice per group. P
values were calculated with 2 way ANOVA with comparison to isotype
control (**, p<0.01 and ****, P<0.0001 for
MUC16xCD3+MUC16xmCD28 and isotype control comparison; #, p<0.05
for MUC16xCD3 and isotype control comparison; $, p<0.05 for
MUC16xmCD28 and isotype control comparison).
[0056] FIG. 6B provides graphs showing serum cytokine levels from
blood obtained at the indicated time point from the same
experiments shown in FIG. 6A.
[0057] FIGS. 6C and 6D are graphs showing cytokine levels. Mice
were bled for serum cytokines at 4 hours post dose on day 7.
Statistical significance was calculated with 1-way ANOVA in
comparison to isotype **p<0.01 and ****p<0.0001. n=7 mice per
group. Data is representative 3 experiments.
[0058] FIG. 7 is a graph showing that anchoring of a MUC16xCD28 to
assay plates using dry-coating or wet-coating method does not
induce T cell activation in the absence of a CD3 stimulus in
contrast to CD28 superagonist.
[0059] FIGS. 8A to 8C are graphs showing that MUC16xCD28 alone or
in combination therapy does not induce systemic T cell activation.
Cynomolgus monkeys received a single dose of bispecifics at either
1 or 10 mg/kg (indicated in parenthesis). An additional group
received a total of 4 doses indicated as repeat dosing. Blood was
collected at the indicated times post dose (hr). FIG. 8A: Serum
cytokines, FIG. 8B: Relative T cell counts and FIG. 8C: Frequency
of Ki67+ and ICOS+ T cells (% of CD3) are shown. Data represent the
average+/-SEM. N=3 animals per group. P values were calculated with
2-way ANOVA with comparison to isotype control. (**, p<0.01;
***, p<0.001 and ****, p<0.0001).
[0060] FIGS. 9A and 9B show that MUCxCD28 and MUC16xCD3 bispecific
antibodies can bind to MUC-expressing cells in the presence of
soluble CA-125. OVCAR-3 cells were incubated in 8 nM of indicated
antibodies labeled with Alexa647 in the presence of increasing
concentrations of soluble CA-125 (FIG. 9A) or MUC16 nub (FIG. 9B)
for 30 minutes at 4.degree. C. in flow cytometry buffer (PBS+1%
FBS). After incubation, the cells were washed with flow cytometry
buffer and analyzed by flow cytometry.
[0061] FIG. 10 is a schematic of T Cell/Antigen-presenting
Cell-based Reporter Bioassay.
[0062] FIGS. 11A and 11B show that bs24963D (also referred to as
REGN5668) enhances NF-.kappa.B signaling in engineered T cells in
the presence of stimulatory antigen-presenting cells expressing
MUC16. Briefly, J.RT3.T3.5/NF-.kappa.B-Luc/1G4AB/hCD8a.beta./hCD28
reporter cells were incubated with bs24963D or CD28 non-bridging
control bispecific antibody (non-TAAxCD28) at a range of
concentrations (39 pM to 10 nM), including a no antibody control,
in the presence of 3T3/h.beta.2M/HLA-A2/NYESO1p/hMUC16 (FIG. 11A)
and 3T3/h.beta.2M/HLA-A2/NYESO1p cells at a 3.33:1 reporter cell to
stimulatory 3T3 cell ratio (FIG. 11B). NF-.kappa.B signaling was
detected as luciferase activity and measured by the quantification
of luminescence signal, reported as relative light units (RLU).
Data from an assay performed in duplicate wells are plotted as
mean.+-.SD.
[0063] FIG. 12 shows that bs24963D (also referred to as REGN5668)
mediates concentration-dependent IL-2 release from human primary T
cells in the presence of REGN4018 (See WO2017/053856A1,
BSMUC16/CD3-001 which is REGN4018) with OVCAR-3 and PEO1 target
cells. Briefly, enriched human primary T cells were incubated with
bs24963D or CD28 non-bridging control bispecific antibody
(non-TAAxCD28) at a range of concentrations (7.6 pM to 500 nM),
including a no antibody control, in the presence of a fixed
concentration (5 nM) of either REGN4018 or CD3 non-bridging control
bispecific antibody (non-TAAxCD3) and the human ovarian cancer cell
lines OVCAR-3 or PEO1 at an effector to target cell ratio of 10:1
or 4:1, respectively. Data are from an assay performed in
triplicate wells and are plotted as mean.+-.SD. IL-2 release was
measured using a human IL-2 immunoassay according to the
manufacturer's protocol.
[0064] FIG. 13 shows thet bs24963D (also referred to as REGN5668)
mediates concentration-dependent enhancement of proliferation of
human primary T cells in the presence of REGN4018 with OVCAR-3 and
PEO1 target cells. Briefly, enriched human primary T cells were
incubated with bs24963D or CD28 non-bridging control bispecific
antibody (non-TAAxCD28) at a range of concentrations (7.6 pM to 500
nM), including a no antibody control, in the presence of a fixed
concentration (5 nM) of either REGN4018 or CD3 non-bridging control
bispecific antibody (non-TAAxCD3) and the human ovarian cancer cell
lines OVCAR-3 and PEO1 at an effector to target cell ratio of 10:1
or 4:1, respectively. Data are from an assay performed in
triplicate wells and are plotted as mean.+-.SD. T-cell
proliferation was measured via detection of tritium decay (from
tritiated thymidine incorporated into dividing cells) and reported
as CPM.
[0065] FIG. 14 shows that bs24963D (also referred to as REGN5668)
mediates concentration-dependent IL-2 release and the addition of
cemiplimab modestly increases IL-2 release from human primary T
cells with SW1990 and SW1990/hPD-L1 target cells. Briefly, enriched
human primary T cells were incubated with bs24963D or CD28
non-bridging control bispecific antibody (non-TAAxCD28) at a range
of concentrations (7.6 pM to 500 nM), including a no antibody
control, in the presence of a fixed concentration (20 nM) of either
cemiplimab or IgG4.sup.P control and the SW1990 and SW1990/hPD-L1
human pancreatic cancer cell lines at an effector to target cell
ratio of 2:1. Data are from an assay performed in triplicate wells
and are plotted as mean.+-.SD. IL-2 release was measured using a
human IL-2 immunoassay according to the manufacturer's protocol.
Statistical analyses were performed using a 2-way ANOVA.
Differences were considered statistically significant when
p<0.05. bs24963D+cemiplimab demonstrated statistically
significant increases in IL-2 release compared with
REGN5668+IgG4.sup.P control in SW1990/hPD-L1 cells
(p<0.0001).
[0066] FIG. 15 shows that bs24963D (also referred to as REGN5668)
mediates concentration-dependent enhancement of proliferation and
the addition of cemiplimab modesty increases proliferation of human
primary T cells with SW1990 and SW1990/hPD-L1. Briefly, enriched
human primary T cells were incubated with bs24963D or CD28
non-bridging control bispecific antibody (non-TAAxCD28) at a range
of concentrations (7.6 pM to 500 nM), including a no antibody
control, in the presence of a fixed concentration (20 nM) of either
cemiplimab or IgG4.sup.P control and the SW1990 and SW1990/hPD-L1
human pancreatic cancer cell lines at an effector to target cell
ratio of 2:1. Data are from an assay performed in triplicate wells
and are plotted as mean.+-.SD. T-cell proliferation was measured
via detection of tritium decay (from tritiated thymidine
incorporated into dividing cells) and reported as CPM. Statistical
analyses were performed using a 2-way ANOVA. Differences were
considered statistically significant when p<0.05.
bs24963D+cemiplimab demonstrated statistically significant
increases in proliferation compared with bs24963D+IgG4.sup.P
control in SW1990/hPD-L1 cells (p<0.0001).
DETAILED DESCRIPTION
[0067] Before the present invention is described, it is to be
understood that this invention is not limited to particular methods
and experimental conditions described, as such methods and
conditions may vary. It is also to be understood that the
terminology used herein is for the purpose of describing particular
embodiments only, and is not intended to be limiting, since the
scope of the present invention will be limited only by the appended
claims.
[0068] Unless defined otherwise, all technical and scientific terms
used herein have the same meaning as commonly understood by one of
ordinary skill in the art to which this invention belongs. As used
herein, the term "about," when used in reference to a particular
recited numerical value, means that the value may vary from the
recited value by no more than 1%. For example, as used herein, the
expression "about 100" includes 99 and 101 and all values in
between (e.g., 99.1, 99.2, 99.3, 99.4, etc.).
[0069] Although any methods and materials similar or equivalent to
those described herein can be used in the practice or testing of
the present invention, the preferred methods and materials are now
described. All patents, applications and non-patent publications
mentioned in this specification are incorporated herein by
reference in their entireties.
Definitions
[0070] The expression "CD28," as used herein, refers to an antigen
which is expressed on T cells as a costimulatory receptor. Human
CD28 comprises the amino acid sequence as set forth in SEQ ID NO:
50, and/or having the amino acid sequence as set forth in NCBI
accession No. NP_006130.1. The human CD28 ecto domain (N19-P152)
having a mouse Fc is shown in SEQ ID NO: 52. The human CD28 ecto
domain (N19-P152) having a myc-myc-his tag is shown in SEQ ID NO:
53. All references to proteins, polypeptides and protein fragments
herein are intended to refer to the human version of the respective
protein, polypeptide or protein fragment unless explicitly
specified as being from a non-human species. Thus, the expression
"CD28" means human CD28 unless specified as being from a non-human
species, e.g., "mouse CD28," "monkey CD28," etc. Mouse CD28
(Accession number NP_031668.3) ecto domain having a myc-myc-his tag
is shown in SEQ ID NO: 54.
[0071] As used herein, "an antibody that binds CD28" or an
"anti-CD28 antibody" includes antibodies and antigen-binding
fragments thereof that specifically recognize a monomeric CD28, as
well as antibodies and antigen-binding fragments thereof that
specifically recognize a dimeric CD28. The antibodies and
antigen-binding fragments of the present invention may bind soluble
CD28 and/or cell surface expressed CD28. Soluble CD28 includes
natural CD28 proteins as well as recombinant CD28 protein variants
such as, e.g., monomeric and dimeric CD28 constructs, that lack a
transmembrane domain or are otherwise unassociated with a cell
membrane.
[0072] As used herein, the expression "cell surface-expressed CD28"
means one or more CD28 protein(s) that is/are expressed on the
surface of a cell in vitro or in vivo, such that at least a portion
of a CD28 protein is exposed to the extracellular side of the cell
membrane and is accessible to an antigen-binding portion of an
antibody. "Cell surface-expressed CD28" includes CD28 proteins
contained within the context of a functional T cell costimulatory
receptor in the membrane of a cell. The expression "cell
surface-expressed CD28" includes CD28 protein expressed as part of
a homodimer on the surface of a cell. A "cell surface-expressed
CD28" can comprise or consist of a CD28 protein expressed on the
surface of a cell which normally expresses CD28 protein.
Alternatively, "cell surface-expressed CD28" can comprise or
consist of CD28 protein expressed on the surface of a cell that
normally does not express human CD28 on its surface but has been
artificially engineered to express CD28 on its surface.
[0073] As used herein, the expression "anti-CD28 antibody" includes
both monovalent antibodies with a single specificity, as well as
bispecific antibodies comprising a first arm that binds CD28 and a
second arm that binds a second (target) antigen, wherein the
anti-CD28 arm comprises any of the HCVR/LCVR or CDR sequences as
set forth in Table 3 herein. Examples of anti-CD28 bispecific
antibodies are described elsewhere herein. The term
"antigen-binding molecule" includes antibodies and antigen-binding
fragments of antibodies, including, e.g., bispecific
antibodies.
[0074] The term "MUC16," as used herein, refers to the human MUC16
protein unless specified as being from a non-human species (e.g.,
"mouse MUC16," "monkey MUC16," etc.). The human MUC16 protein has
the amino acid sequence shown in SEQ ID NO:49, and/or having the
amino acid sequence as set forth in NCBI accession No. NP_078966.
The human MUC16 membrane proximal domain (P13810-P14451) having a
myc-myc-his tag is shown as SEQ ID NO: 51.
[0075] As used herein, "an antibody that binds MUC16" or an
"anti-MUC16 antibody" includes antibodies and antigen-binding
fragments thereof that may bind soluble MUC16 and/or cell surface
expressed MUC16. Soluble MUC16 includes natural MUC16 proteins as
well as recombinant MUC16 protein variants such as, e.g., MUC16
constructs, that lack a transmembrane domain or are otherwise
unassociated with a cell membrane.
[0076] As used herein, the expression "anti-MUC16 antibody"
includes both monovalent antibodies with a single specificity, as
well as bispecific antibodies comprising a first arm that binds
MUC16 and a second arm that binds a second (target) antigen,
wherein the anti-MUC16 arm comprises any of the HCVR/LCVR or CDR
sequences as set forth in Table 1 herein. Examples of anti-MUC16
bispecific antibodies are described elsewhere herein. The term
"antigen-binding molecule" includes antibodies and antigen-binding
fragments of antibodies, including, e.g., bispecific
antibodies.
[0077] The term "antigen-binding molecule" includes antibodies and
antigen-binding fragments of antibodies, including, e.g.,
bispecific antibodies.
[0078] The term "antibody", as used herein, means any
antigen-binding molecule or molecular complex comprising at least
one complementarity determining region (CDR) that specifically
binds to or interacts with a particular antigen (e.g., CD28). The
term "antibody" includes immunoglobulin molecules comprising four
polypeptide chains, two heavy (H) chains and two light (L) chains
inter-connected by disulfide bonds, as well as multimers thereof
(e.g., IgM). Each heavy chain comprises a heavy chain variable
region (abbreviated herein as HCVR or VH) and a heavy chain
constant region. The heavy chain constant region comprises three
domains, C.sub.H1, C.sub.H2 and C.sub.H3. Each light chain
comprises a light chain variable region (abbreviated herein as LCVR
or VL) and a light chain constant region. The light chain constant
region comprises one domain (C.sub.L1). The V.sub.H and V.sub.L
regions can be further subdivided into regions of hypervariability,
termed complementarity determining regions (CDRs), interspersed
with regions that are more conserved, termed framework regions
(FR). Each V.sub.H and V.sub.L is composed of three CDRs and four
FRs, arranged from amino-terminus to carboxy-terminus in the
following order: FR1, CDR1, FR2, CDR2, FR3, CDR3, FR4. In different
embodiments of the invention, the FRs of the anti-CD28 and/or
anti-MUC16 antibody (or antigen-binding portion thereof) may be
identical to the human germ line sequences, or may be naturally or
artificially modified. An amino acid consensus sequence may be
defined based on a side-by-side analysis of two or more CDRs.
[0079] The term "antibody", as used herein, also includes
antigen-binding fragments of full antibody molecules. The terms
"antigen-binding portion" of an antibody, "antigen-binding
fragment" of an antibody, and the like, as used herein, include any
naturally occurring, enzymatically obtainable, synthetic, or
genetically engineered polypeptide or glycoprotein that
specifically binds an antigen to form a complex. Antigen-binding
fragments of an antibody may be derived, e.g., from full antibody
molecules using any suitable standard techniques such as
proteolytic digestion or recombinant genetic engineering techniques
involving the manipulation and expression of DNA encoding antibody
variable and optionally constant domains. Such DNA is known and/or
is readily available from, e.g., commercial sources, DNA libraries
(including, e.g., phage-antibody libraries), or can be synthesized.
The DNA may be sequenced and manipulated chemically or by using
molecular biology techniques, for example, to arrange one or more
variable and/or constant domains into a suitable configuration, or
to introduce codons, create cysteine residues, modify, add or
delete amino acids, etc.
[0080] Non-limiting examples of antigen-binding fragments include:
(i) Fab fragments; (ii) F(ab')2 fragments; (iii) Fd fragments; (iv)
Fv fragments; (v) single-chain Fv (scFv) molecules; (vi) dAb
fragments; and (vii) minimal recognition units consisting of the
amino acid residues that mimic the hypervariable region of an
antibody (e.g., an isolated complementarity determining region
(CDR) such as a CDR3 peptide), or a constrained FR3-CDR3-FR4
peptide. Other engineered molecules, such as domain-specific
antibodies, single domain antibodies, domain-deleted antibodies,
chimeric antibodies, CDR-grafted antibodies, diabodies, triabodies,
tetrabodies, minibodies, nanobodies (e.g. monovalent nanobodies,
bivalent nanobodies, etc.), small modular immunopharmaceuticals
(SMIPs), and shark variable IgNAR domains, are also encompassed
within the expression "antigen-binding fragment," as used
herein.
[0081] An antigen-binding fragment of an antibody will typically
comprise at least one variable domain. The variable domain may be
of any size or amino acid composition and will generally comprise
at least one CDR which is adjacent to or in frame with one or more
framework sequences. In antigen-binding fragments having a V.sub.H
domain associated with a V.sub.L domain, the V.sub.H and V.sub.L
domains may be situated relative to one another in any suitable
arrangement. For example, the variable region may be dimeric and
contain V.sub.H-V.sub.H, V.sub.H-V.sub.L or V.sub.L-V.sub.L dimers.
Alternatively, the antigen-binding fragment of an antibody may
contain a monomeric V.sub.H or V.sub.L domain.
[0082] In certain embodiments, an antigen-binding fragment of an
antibody may contain at least one variable domain covalently linked
to at least one constant domain. Non-limiting, exemplary
configurations of variable and constant domains that may be found
within an antigen-binding fragment of an antibody of the present
invention include: (i) V.sub.H-C.sub.H1; (ii) V.sub.H-C.sub.H2;
(iii) V.sub.H-C.sub.H3; (iv) V.sub.H-C.sub.H1-C.sub.H2; (v)
V.sub.H-C.sub.H1-C.sub.H2-C.sub.H3; (vi) V.sub.H-C.sub.H2-C.sub.H3;
(vii) V.sub.H-C.sub.L; (viii) V.sub.L-C.sub.H1; (ix)
V.sub.L-C.sub.H2; (x) V.sub.L-C.sub.H3; (xi)
V.sub.L-C.sub.H1-C.sub.H2; (xii)
V.sub.L-C.sub.H1-C.sub.H2-C.sub.H3; (xiii)
V.sub.L-C.sub.H2-C.sub.H3; and (xiv) V.sub.L-C.sub.L. In any
configuration of variable and constant domains, including any of
the exemplary configurations listed above, the variable and
constant domains may be either directly linked to one another or
may be linked by a full or partial hinge or linker region. A hinge
region may consist of at least 2 (e.g., 5, 10, 15, 20, 40, 60 or
more) amino acids which result in a flexible or semi-flexible
linkage between adjacent variable and/or constant domains in a
single polypeptide molecule. Moreover, an antigen-binding fragment
may comprise a homo-dimer or hetero-dimer (or other multimer) of
any of the variable and constant domain configurations listed above
in non-covalent association with one another and/or with one or
more monomeric V.sub.H or V.sub.L domain (e.g., by disulfide
bond(s)).
[0083] As with full antibody molecules, antigen-binding fragments
may be monospecific or multispecific (e.g., bispecific). A
multispecific antigen-binding fragment of an antibody will
typically comprise at least two different variable domains, wherein
each variable domain is capable of specifically binding to a
separate antigen or to a different epitope on the same antigen. Any
multispecific antibody format, including the exemplary bispecific
antibody formats disclosed herein, may be adapted for use in the
context of an antigen-binding fragment of an antibody of the
present invention using routine techniques available in the
art.
[0084] The antibodies of the present invention may function through
complement-dependent cytotoxicity (CDC) or antibody-dependent
cell-mediated cytotoxicity (ADCC). "Complement dependent
cytotoxicity" (CDC) refers to lysis of antigen-expressing cells by
an antibody of the invention in the presence of complement.
"Antibody-dependent cell-mediated cytotoxicity" (ADCC) refers to a
cell-mediated reaction in which nonspecific cytotoxic cells that
express Fc receptors (FcRs) (e.g., Natural Killer (NK) cells,
neutrophils, and macrophages) recognize bound antibody on a target
cell and thereby lead to lysis of the target cell. CDC and ADCC can
be measured using assays that are well known and available in the
art. (See, e.g., U.S. Pat. Nos. 5,500,362 and 5,821,337, and Clynes
et al. (1998) Proc. Natl. Acad. Sci. (USA) 95:652-656). The
constant region of an antibody is important in the ability of an
antibody to fix complement and mediate cell-dependent cytotoxicity.
Thus, the isotype of an antibody may be selected on the basis of
whether it is desirable for the antibody to mediate
cytotoxicity.
[0085] In certain embodiments of the invention, the anti-CD28
and/or anti-MUC16 antibodies of the invention (monospecific or
bispecific) are human antibodies. The term "human antibody", as
used herein, is intended to include antibodies having variable and
constant regions derived from human germ line immunoglobulin
sequences. The human antibodies of the invention may include amino
acid residues not encoded by human germline immunoglobulin
sequences (e.g., mutations introduced by random or site-specific
mutagenesis in vitro or by somatic mutation in vivo), for example
in the CDRs and in particular CDR3. However, the term "human
antibody", as used herein, is not intended to include antibodies in
which CDR sequences derived from the germ line of another mammalian
species, such as a mouse, have been grafted onto human framework
sequences.
[0086] The antibodies of the invention may, in some embodiments, be
recombinant human antibodies. The term "recombinant human
antibody", as used herein, is intended to include all human
antibodies that are prepared, expressed, created or isolated by
recombinant means, such as antibodies expressed using a recombinant
expression vector transfected into a host cell (described further
below), antibodies isolated from a recombinant, combinatorial human
antibody library (described further below), antibodies isolated
from an animal (e.g., a mouse) that is transgenic for human
immunoglobulin genes (see e.g., Taylor et al. (1992) Nucl. Acids
Res. 20:6287-6295) or antibodies prepared, expressed, created or
isolated by any other means that involves splicing of human
immunoglobulin gene sequences to other DNA sequences. Such
recombinant human antibodies have variable and constant regions
derived from human germline immunoglobulin sequences. In certain
embodiments, however, such recombinant human antibodies are
subjected to in vitro mutagenesis (or, when an animal transgenic
for human Ig sequences is used, in vivo somatic mutagenesis) and
thus the amino acid sequences of the V.sub.H and V.sub.L regions of
the recombinant antibodies are sequences that, while derived from
and related to human germ line V.sub.H and V.sub.L sequences, may
not naturally exist within the human antibody germ line repertoire
in vivo.
[0087] Human antibodies can exist in two forms that are associated
with hinge heterogeneity. In one form, an immunoglobulin molecule
comprises a stable four chain construct of approximately 150-160
kDa in which the dimers are held together by an interchain heavy
chain disulfide bond. In a second form, the dimers are not linked
via inter-chain disulfide bonds and a molecule of about 75-80 kDa
is formed composed of a covalently coupled light and heavy chain
(half-antibody). These forms have been extremely difficult to
separate, even after affinity purification.
[0088] The frequency of appearance of the second form in various
intact IgG isotypes is due to, but not limited to, structural
differences associated with the hinge region isotype of the
antibody. A single amino acid substitution in the hinge region of
the human IgG4 hinge can significantly reduce the appearance of the
second form (Angal et al. (1993) Molecular Immunology 30:105) to
levels typically observed using a human IgG1 hinge. The instant
invention encompasses antibodies having one or more mutations in
the hinge, C.sub.H2 or C.sub.H3 region which may be desirable, for
example, in production, to improve the yield of the desired
antibody form.
[0089] The antibodies of the invention may be isolated antibodies.
An "isolated antibody," as used herein, means an antibody that has
been identified and separated and/or recovered from at least one
component of its natural environment. For example, an antibody that
has been separated or removed from at least one component of an
organism, or from a tissue or cell in which the antibody naturally
exists or is naturally produced, is an "isolated antibody" for
purposes of the present invention. An isolated antibody also
includes an antibody in situ within a recombinant cell. Isolated
antibodies are antibodies that have been subjected to at least one
purification or isolation step. According to certain embodiments,
an isolated antibody may be substantially free of other cellular
material and/or chemicals.
[0090] The present invention also includes one-arm antibodies that
bind CD28 and/or MUC16. As used herein, a "one-arm antibody" means
an antigen-binding molecule comprising a single antibody heavy
chain and a single antibody light chain. The one-arm antibodies of
the present invention may comprise any of the HCVR/LCVR or CDR
amino acid sequences as set forth in Table 1 and Table 3.
[0091] The anti-CD28 and/or anti-MUC16 antibodies herein, or the
antigen-binding domains thereof, may comprise one or more amino
acid substitutions, insertions and/or deletions in the framework
and/or CDR regions of the heavy and light chain variable domains as
compared to the corresponding germline sequences from which the
antigen-binding proteins or antigen-binding domains were derived.
Such mutations can be readily ascertained by comparing the amino
acid sequences disclosed herein to germline sequences available
from, for example, public antibody sequence databases. The present
invention includes antibodies, and the antigen-binding domains
thereof, which are derived from any of the amino acid sequences
disclosed herein, wherein one or more amino acids within one or
more framework and/or CDR regions are mutated to the corresponding
residue(s) of the germline sequence from which the antibody was
derived, or to the corresponding residue(s) of another human
germline sequence, or to a conservative amino acid substitution of
the corresponding germline residue(s) (such sequence changes are
referred to herein collectively as "germline mutations"). A person
of ordinary skill in the art, starting with the heavy and light
chain variable region sequences disclosed herein, can easily
produce numerous antibodies and antigen-binding fragments, which
comprise one or more individual germline mutations or combinations
thereof. In certain embodiments, all of the framework and/or CDR
residues within the V.sub.H and/or V.sub.L domains are mutated back
to the residues found in the original germline sequence from which
the antibody was derived. In other embodiments, only certain
residues are mutated back to the original germline sequence, e.g.,
only the mutated residues found within the first 8 amino acids of
FR1 or within the last 8 amino acids of FR4, or only the mutated
residues found within CDR1, CDR2 or CDR3. In other embodiments, one
or more of the framework and/or CDR residue(s) are mutated to the
corresponding residue(s) of a different germline sequence (i.e., a
germline sequence that is different from the germline sequence from
which the antibody was originally derived). Furthermore, the
antibodies, or the antigen-binding domains thereof, of the present
invention may contain any combination of two or more germline
mutations within the framework and/or CDR regions, e.g., wherein
certain individual residues are mutated to the corresponding
residue of a particular germline sequence while certain other
residues that differ from the original germline sequence are
maintained or are mutated to the corresponding residue of a
different germline sequence. Once obtained, antibodies, or the
antigen-binding fragments thereof, that contain one or more
germline mutations can be easily tested for one or more desired
property such as, improved binding specificity, increased binding
affinity, improved or enhanced antagonistic or agonistic biological
properties (as the case may be), reduced immunogenicity, etc.
Antibodies, or the antigen-binding fragments thereof, obtained in
this general manner are encompassed within the present
invention.
[0092] The present invention also includes anti-CD28 and/or MUC16
antibodies and antigen-binding molecules comprising variants of any
of the HCVR, LCVR, and/or CDR amino acid sequences disclosed
herein. Exemplary variants included within this aspect of the
invention include variants of any of the HCVR, LCVR, and/or CDR
amino acid sequences disclosed herein having one or more
conservative substitutions. For example, the present invention
includes anti-CD28 antibodies and antigen-binding molecules having
HCVR, LCVR, and/or CDR amino acid sequences with, e.g., 10 or
fewer, 8 or fewer, 6 or fewer, 4 or fewer, etc. conservative amino
acid substitutions relative to any of the HCVR, LCVR, and/or CDR
amino acid sequences set forth in Table 3 herein.
[0093] The term "epitope" refers to an antigenic determinant that
interacts with a specific antigen binding site in the variable
region of an antibody molecule known as a paratope. A single
antigen may have more than one epitope. Thus, different antibodies
may bind to different areas on an antigen and may have different
biological effects. Epitopes may be either conformational or
linear. A conformational epitope is produced by spatially
juxtaposed amino acids from different segments of the linear
polypeptide chain. A linear epitope is one produced by adjacent
amino acid residues in a polypeptide chain. In certain
circumstance, an epitope may include moieties of saccharides,
phosphoryl groups, or sulfonyl groups on the antigen.
[0094] The term "substantial identity" or "substantially
identical," when referring to a nucleic acid or fragment thereof,
indicates that, when optimally aligned with appropriate nucleotide
insertions or deletions with another nucleic acid (or its
complementary strand), there is nucleotide sequence identity in at
least about 95%, and more preferably at least about 96%, 97%, 98%
or 99% of the nucleotide bases, as measured by any well-known
algorithm of sequence identity, such as FASTA, BLAST or Gap, as
discussed below. A nucleic acid molecule having substantial
identity to a reference nucleic acid molecule may, in certain
instances, encode a polypeptide having the same or substantially
similar amino acid sequence as the polypeptide encoded by the
reference nucleic acid molecule.
[0095] As applied to polypeptides, the term "substantial
similarity" or "substantially similar" means that two peptide
sequences, when optimally aligned, such as by the programs GAP or
BESTFIT using default gap weights, share at least 95% sequence
identity, even more preferably at least 98% or 99% sequence
identity. Preferably, residue positions which are not identical
differ by conservative amino acid substitutions. A "conservative
amino acid substitution" is one in which an amino acid residue is
substituted by another amino acid residue having a side chain (R
group) with similar chemical properties (e.g., charge or
hydrophobicity). In general, a conservative amino acid substitution
will not substantially change the functional properties of a
protein. In cases where two or more amino acid sequences differ
from each other by conservative substitutions, the percent sequence
identity or degree of similarity may be adjusted upwards to correct
for the conservative nature of the substitution. Means for making
this adjustment are well-known to those of skill in the art. See,
e.g., Pearson (1994) Methods Mol. Biol. 24: 307-331. Examples of
groups of amino acids that have side chains with similar chemical
properties include (1) aliphatic side chains: glycine, alanine,
valine, leucine and isoleucine; (2) aliphatic-hydroxyl side chains:
serine and threonine; (3) amide-containing side chains: asparagine
and glutamine; (4) aromatic side chains: phenylalanine, tyrosine,
and tryptophan; (5) basic side chains: lysine, arginine, and
histidine; (6) acidic side chains: aspartate and glutamate, and (7)
sulfur-containing side chains are cysteine and methionine.
Preferred conservative amino acids substitution groups are:
valine-leucine-isoleucine, phenylalanine-tyrosine, lysine-arginine,
alanine-valine, glutamate-aspartate, and asparagine-glutamine.
Alternatively, a conservative replacement is any change having a
positive value in the PAM250 log-likelihood matrix disclosed in
Gonnet et al. (1992) Science 256: 1443-1445. A "moderately
conservative" replacement is any change having a nonnegative value
in the PAM250 log-likelihood matrix.
[0096] Sequence similarity for polypeptides, which is also referred
to as sequence identity, is typically measured using sequence
analysis software. Protein analysis software matches similar
sequences using measures of similarity assigned to various
substitutions, deletions and other modifications, including
conservative amino acid substitutions. For instance, GCG software
contains programs such as Gap and Bestfit which can be used with
default parameters to determine sequence homology or sequence
identity between closely related polypeptides, such as homologous
polypeptides from different species of organisms or between a wild
type protein and a mutein thereof. See, e.g., GCG Version 6.1.
Polypeptide sequences also can be compared using FASTA using
default or recommended parameters, a program in GCG Version 6.1.
FASTA (e.g., FASTA2 and FASTA3) provides alignments and percent
sequence identity of the regions of the best overlap between the
query and search sequences (Pearson (2000) supra). Another
preferred algorithm when comparing a sequence of the invention to a
database containing a large number of sequences from different
organisms is the computer program BLAST, especially BLASTP or
TBLASTN, using default parameters. See, e.g., Altschul et al.
(1990) J. Mol. Biol. 215:403-410 and Altschul et al. (1997) Nucleic
Acids Res. 25:3389-402.
Bispecific Antigen-Binding Molecules
[0097] The antibodies of the present invention may be monospecific,
bi-specific, or multispecific. Multispecific antibodies may be
specific for different epitopes of one target polypeptide or may
contain antigen-binding domains specific for more than one target
polypeptide. See, e.g., Tutt et al., 1991, J. Immunol. 147:60-69;
Kufer et al., 2004, Trends Biotechnol. 22:238-244. The anti-CD28
and/or anti-MUC16 antibodies of the present invention can be linked
to or co-expressed with another functional molecule, e.g., another
peptide or protein. For example, an antibody or fragment thereof
can be functionally linked (e.g., by chemical coupling, genetic
fusion, noncovalent association or otherwise) to one or more other
molecular entities, such as another antibody or antibody fragment
to produce a bi-specific or a multispecific antibody with a second
binding specificity.
[0098] Use of the expression "anti-CD28 antibody" and/or
"anti-MUC16 antibody" herein is intended to include both
monospecific anti-CD28 and/or anti-MUC16 antibodies as well as
bispecific antibodies comprising a CD28-binding arm or
MUC16-binding arm and a second arm that binds a target antigen.
Thus, the present invention includes bispecific antibodies wherein
one arm of an immunoglobulin binds human CD28 or MUC16, and the
other arm of the immunoglobulin is specific for a target antigen.
The target antigen that the other arm of the CD28 or MUC16
bispecific antibody binds can be any antigen expressed on or in the
vicinity of a cell, tissue, organ, microorganism or virus, against
which a targeted immune response is desired. The CD28-binding arm
can comprise any of the HCVR/LCVR or CDR amino acid sequences as
set forth in Table 3 herein. The MUC16-binding arm can comprise any
of the HCVR/LCVR or CDR amino acid sequences as set forth in Table
1 herein. In certain embodiments, the CD28-binding arm binds human
CD28 and induces human T cell proliferation.
[0099] In the context of bispecific antibodies of the present
invention wherein one arm of the antibody binds CD28 and the other
arm binds a target antigen, the target antigen can be a
tumor-associated antigen, such as MUC16.
[0100] According to certain exemplary embodiments, the present
invention includes bispecific antigen-binding molecules that
specifically bind CD28 and MUC16. Such molecules may be referred to
herein as, e.g., "anti-CD28/anti-MUC16," or "anti-CD28xMUC16," or
"CD28xMUC16" or "anti-MUC16/anti-CD28," or "anti-MUC16xCD28," or
"MUC16xCD28" bispecific molecules, or other similar
terminology.
[0101] According to certain exemplary embodiments as shown in the
Figures, the bispecific antigen-binding molecules (e.g., bispecific
antibody) may have an effector arm and a targeting arm. The
effector arm may be the first antigen-binding domain (e.g.,
anti-CD28 antibody) that binds to the antigens on effector cells
(e.g., T cells). The targeting arm may be the second antigen
binding domain (e.g., anti-MUC16 antibody) that binds to the
antigens on target cells (e.g., tumor cells). According to certain
exemplary embodiments, the effector arm binds to CD28 and the
targeting arm binds to MUC16. The bispecific anti-CD28/MUC16 may
provide co-stimulatory signal to effector cells (e.g., T cells).
The effector arm has no effect to stimulate T cells without
clustering. Upon clustering, the effector arm alone has little
effect to stimulate T cells. In combination with the targeting arm,
the effector arm stimulates T cells. The tumor targeting arm may
have imperfect tumor specificity. The antigen that is the target of
the targeting arm (e.g., MUC16) may be expressed on a fraction of
tumor cells. The specificity of the tumor targeting arm may be
increased by overlapping with combination with anti-CD3 bispecific
antigen-binding molecules (e.g., anti-CD3/MUC16 bispecific
antibody).
[0102] As used herein, the expression "antigen-binding molecule"
means a protein, polypeptide or molecular complex comprising or
consisting of at least one complementarity determining region (CDR)
that alone, or in combination with one or more additional CDRs
and/or framework regions (FRs), specifically binds to a particular
antigen. In certain embodiments, an antigen-binding molecule is an
antibody or a fragment of an antibody, as those terms are defined
elsewhere herein.
[0103] As used herein, the expression "bispecific antigen-binding
molecule" means a protein, polypeptide or molecular complex
comprising at least a first antigen-binding domain and a second
antigen-binding domain. Each antigen-binding domain within the
bispecific antigen-binding molecule comprises at least one CDR that
alone, or in combination with one or more additional CDRs and/or
FRs, specifically binds to a particular antigen. In the context of
the present invention, the first antigen-binding domain
specifically binds a first antigen (e.g., CD28), and the second
antigen-binding domain specifically binds a second, distinct
antigen (e.g., MUC16).
[0104] In certain exemplary embodiments of the present invention,
the bispecific antigen-binding molecule is a bispecific antibody.
Each antigen-binding domain of a bispecific antibody comprises a
heavy chain variable domain (HCVR) and a light chain variable
domain (LCVR). In the context of a bispecific antigen-binding
molecule comprising a first and a second antigen binding domain
(e.g., a bispecific antibody), the CDRs of the first
antigen-binding domain may be designated with the prefix "D1" and
the CDRs of the second antigen-binding domain may be designated
with the prefix "D2". Thus, the CDRs of the first antigen-binding
domain may be referred to herein as D1-HCDR1, D1-HCDR2, and
D1-HCDR3; and the CDRs of the second antigen-binding domain may be
referred to herein as D2-HCDR1, D2-HCDR2, and D2-HCDR3.
[0105] The first antigen-binding domain and the second
antigen-binding domain may be directly or indirectly connected to
one another to form a bispecific antigen-binding molecule of the
present invention. Alternatively, the first antigen-binding domain
and the second antigen binding domain may each be connected to a
separate multimerizing domain. The association of one multimerizing
domain with another multimerizing domain facilitates the
association between the two antigen-binding domains, thereby
forming a bispecific antigen-binding molecule. As used herein, a
"multimerizing domain" is any macromolecule, protein, polypeptide,
peptide, or amino acid that has the ability to associate with a
second multimerizing domain of the same or similar structure or
constitution. For example, a multimerizing domain may be a
polypeptide comprising an immunoglobulin C.sub.H3 domain. A
non-limiting example of a multimerizing component is an Fc portion
of an immunoglobulin (comprising a C.sub.H2-C.sub.H3 domain), e.g.,
an Fc domain of an IgG selected from the isotypes IgG1, IgG2, IgG3,
and IgG4, as well as any allotype within each isotype group.
[0106] Bispecific antigen-binding molecules of the present
invention will typically comprise two multimerizing domains, e.g.,
two Fc domains that are each individually part of a separate
antibody heavy chain. The first and second multimerizing domains
may be of the same IgG isotype such as, e.g., IgG1/IgG1, IgG2/IgG2,
IgG4/IgG4. Alternatively, the first and second multimerizing
domains may be of different IgG isotypes such as, e.g., IgG1/IgG2,
IgG1/IgG4, IgG2/IgG4, etc.
[0107] In certain embodiments, the multimerizing domain is an Fc
fragment or an amino acid sequence of 1 to about 200 amino acids in
length containing at least one cysteine residues. In other
embodiments, the multimerizing domain is a cysteine residue, or a
short cysteine containing peptide. Other multimerizing domains
include peptides or polypeptides comprising or consisting of a
leucine zipper, a helix-loop motif, or a coiled-coil motif.
[0108] Any bispecific antibody format or technology may be used to
make the bispecific antigen-binding molecules of the present
invention. For example, an antibody or fragment thereof having a
first antigen binding specificity can be functionally linked (e.g.,
by chemical coupling, genetic fusion, noncovalent association or
otherwise) to one or more other molecular entities, such as another
antibody or antibody fragment having a second antigen-binding
specificity to produce a bispecific antigen-binding molecule.
Specific exemplary bispecific formats that can be used in the
context of the present invention include, without limitation, e.g.,
scFv-based or diabody bispecific formats, IgG-scFv fusions, dual
variable domain (OVO)-Ig, Quadroma, knobs-into-holes, common light
chain (e.g., common light chain with knobs-into-holes, etc.),
CrossMab, CrossFab, (SEEO)body, leucine zipper, Ouobody, IgG1/IgG2,
dual acting Fab (OAF)-IgG, and Mab.sup.2 bispecific formats (see,
e.g., Klein et al. 2012, mAbs 4:6, 1-11, and references cited
therein, for a review of the foregoing formats).
[0109] In the context of bispecific antigen-binding molecules of
the present invention, the multimerizing domains, e.g., Fc domains,
may comprise one or more amino acid changes (e.g., insertions,
deletions or substitutions) as compared to the wild-type, naturally
occurring version of the Fc domain. For example, the invention
includes bispecific antigen-binding molecules comprising one or
more modifications in the Fc domain that results in a modified Fc
domain having a modified binding interaction (e.g., enhanced or
diminished) between Fc and FcRn. In one embodiment, the bispecific
antigen-binding molecule comprises a modification in a C.sub.H2 or
a C.sub.H3 region, wherein the modification increases the affinity
of the Fc domain to FcRn in an acidic environment (e.g., in an
endosome where pH ranges from about 5.5 to about 6.0). Non-limiting
examples of such Fc modifications include, e.g., a modification at
position 250 (e.g., E or Q); 250 and 428 (e.g., L or F); 252 (e.g.,
LN/FIW or T), 254 (e.g., S or T), and 256 (e.g., S/R/Q/EID or T);
or a modification at position 428 and/or 433 (e.g., UR/S/P/Q or K)
and/or 434 (e.g., H/F or V); or a modification at position 250
and/or 428; or a modification at position 307 or 308 (e.g., 308F,
V308F), and 434. In one embodiment, the modification comprises a
428L (e.g., M428L) and 434S (e.g., N434S) modification; a 428L,
259I (e.g., V259I), and 308F (e.g., V308F) modification; a 433K
(e.g., H433K) and a 434 (e.g., 434Y) modification; a 252, 254, and
256 (e.g., 252Y, 254T, and 256E) modification; a 250Q and 428L
modification (e.g., T250Q and M428L); and a 307 and/or 308
modification (e.g., 308F or 308P).
[0110] The present invention also includes bispecific
antigen-binding molecules comprising a first C.sub.H3 domain and a
second Ig C.sub.H3 domain, wherein the first and second Ig C.sub.H3
domains differ from one another by at least one amino acid, and
wherein at least one amino acid difference reduces binding of the
bispecific antibody to Protein A as compared to a bi-specific
antibody lacking the amino acid difference. In one embodiment, the
first Ig C.sub.H3 domain binds Protein A and the second Ig C.sub.H3
domain contains a mutation that reduces or abolishes Protein A
binding such as an H95R modification (by IMGT exon numbering; H435R
by EU numbering). The second C.sub.H3 may further comprise a Y96F
modification (by IMGT; Y436F by EU). Further modifications that may
be found within the second CH3 include: D16E, L 18M, N44S, K52N,
V57M, and V821 (by IMGT; D356E, L358M, N384S, K392N, V397M, and
V4221 by EU) in the case of IgG1 antibodies; N44S, K52N, and V821
(IMGT; N384S, K392N, and V4221 by EU) in the case of IgG2
antibodies; and Q15R, N44S, K52N, V57M, R69K, E79Q, and V821 (by
IMGT; Q355R, N384S, K392N, V397M, R409K, E419Q, and V4221 by EU) in
the case of IgG4 antibodies.
[0111] In certain embodiments, the Fc domain may be chimeric,
combining Fc sequences derived from more than one immunoglobulin
isotype. For example, a chimeric Fc domain can comprise part or all
of a C.sub.H2 sequence derived from a human IgG1, human IgG2 or
human IgG4 C.sub.H2 region, and part or all of a C.sub.H3 sequence
derived from a human IgG1, human IgG2 or human IgG4. A chimeric Fc
domain can also contain a chimeric hinge region. For example, a
chimeric hinge may comprise an "upper hinge" sequence, derived from
a human IgG1, a human IgG2 or a human IgG4 hinge region, combined
with a "lower hinge" sequence, derived from a human IgG1, a human
IgG2 or a human IgG4 hinge region. A particular example of a
chimeric Fc domain that can be included in any of the
antigen-binding molecules set forth herein comprises, from N- to
C-terminus: [IgG4 C.sub.H1]-[IgG4 upper hinge]-[IgG2 lower
hinge]-[IgG4 CH2]-[IgG4 C.sub.H3]. Another example of a chimeric Fc
domain that can be included in any of the antigen-binding molecules
set forth herein comprises, from N- to C-terminus: [IgG1
C.sub.H1]-[IgG1 upper hinge]-[IgG2 lower hinge]-[IgG4
C.sub.H2]-[IgG1 C.sub.H3]. These and other examples of chimeric Fc
domains that can be included in any of the antigen-binding
molecules of the present invention are described in WO2014/022540
A1, Chimeric Fc domains having these general structural
arrangements, and variants thereof, can have altered Fc receptor
binding, which in turn affects Fc effector function.
Sequence Variants
[0112] The antibodies and bispecific antigen-binding molecules of
the present invention may comprise one or more amino acid
substitutions, insertions and/or deletions in the framework and/or
CDR regions of the heavy and light chain variable domains as
compared to the corresponding germline sequences from which the
individual antigen-binding domains were derived. Such mutations can
be readily ascertained by comparing the amino acid sequences
disclosed herein to germ line sequences available from, for
example, public antibody sequence databases. The antigen-binding
molecules of the present invention may comprise antigen binding
fragments which are derived from any of the exemplary amino acid
sequences disclosed herein, wherein one or more amino acids within
one or more framework and/or CDR regions are mutated to the
corresponding residue(s) of the germline sequence from which the
antibody was derived, or to the corresponding residue(s) of another
human germline sequence, or to a conservative amino acid
substitution of the corresponding germline residue(s) (such
sequence changes are referred to herein collectively as "germline
mutations"). A person of ordinary skill in the art, starting with
the heavy and light chain variable region sequences disclosed
herein, can easily produce numerous antibodies and antigen-binding
fragments which comprise one or more individual germline mutations
or combinations thereof. In certain embodiments, all of the
framework and/or CDR residues within the V.sub.H and/or V.sub.L
domains are mutated back to the residues found in the original
germline sequence from which the antigen-binding domain was
originally derived. In other embodiments, only certain residues are
mutated back to the original germline sequence, e.g., only the
mutated residues found within the first 8 amino acids of FR1 or
within the last 8 amino acids of FR4, or only the mutated residues
found within CDR1, CDR2 or CDR3. In other embodiments, one or more
of the framework and/or CDR residue(s) are mutated to the
corresponding residue(s) of a different germline sequence (i.e., a
germline sequence that is different from the germ line sequence
from which the antigen-binding domain was originally derived).
Furthermore, the antigen-binding domains may contain any
combination of two or more germline mutations within the framework
and/or CDR regions, e.g., wherein certain individual residues are
mutated to the corresponding residue of a particular germ line
sequence while certain other residues that differ from the original
germ line sequence are maintained or are mutated to the
corresponding residue of a different germline sequence. Once
obtained, antigen-binding domains that contain one or more germline
mutations can be easily tested for one or more desired property
such as, improved binding specificity, increased binding affinity,
improved or enhanced antagonistic or agonistic biological
properties (as the case may be), reduced immunogenicity, etc.
Bispecific antigen-binding molecules comprising one or more
antigen-binding domains obtained in this general manner are
encompassed within the present invention.
[0113] The present invention also includes antigen-binding
molecules wherein one or both antigen-binding domains comprise
variants of any of the HCVR, LCVR, and/or CDR amino acid sequences
disclosed herein having one or more conservative substitutions. For
example, the present invention includes antigen-binding molecules
comprising an antigen-binding domain having HCVR, LCVR, and/or CDR
amino acid sequences with, e.g., 10 or fewer, 8 or fewer, 6 or
fewer, 4 or fewer, etc. conservative amino acid substitutions
relative to any of the HCVR, LCVR, and/or CDR amino acid sequences
disclosed herein. A "conservative amino acid substitution" is one
in which an amino acid residue is substituted by another amino acid
residue having a side chain (R group) with similar chemical
properties (e.g., charge or hydrophobicity). In general, a
conservative amino acid substitution will not substantially change
the functional properties of a protein. Examples of groups of amino
acids that have side chains with similar chemical properties
include (1) aliphatic side chains: glycine, alanine, valine,
leucine and isoleucine; (2) aliphatic-hydroxyl side chains: serine
and threonine; (3) amide-containing side chains: asparagine and
glutamine; (4) aromatic side chains: phenylalanine, tyrosine, and
tryptophan; (5) basic side chains: lysine, arginine, and histidine;
(6) acidic side chains: aspartate and glutamate, and (7)
sulfur-containing side chains are cysteine and methionine.
Preferred conservative amino acids substitution groups are:
valine-leucine-isoleucine, phenylalanine-tyrosine, lysine-arginine,
alanine-valine, glutamate-aspartate, and asparagine-glutamine.
Alternatively, a conservative replacement is any change having a
positive value in the PAM250 log-likelihood matrix disclosed in
Gonnet et al. (1992) Science 256: 1443-1445. A "moderately
conservative" replacement is any change having a nonnegative value
in the PAM250 log-likelihood matrix.
[0114] The present invention also includes antigen-binding
molecules comprising an antigen binding domain with an HCVR, LCVR,
and/or CDR amino acid sequence that is substantially identical to
any of the HCVR, LCVR, and/or CDR amino acid sequences disclosed
herein. The term "substantial identity" or "substantially
identical," when referring to an amino acid sequence means that two
amino acid sequences, when optimally aligned, such as by the
programs GAP or BESTFIT using default gap weights, share at least
95% sequence identity, even more preferably at least 98% or 99%
sequence identity. Preferably, residue positions which are not
identical differ by conservative amino acid substitutions. In cases
where two or more amino acid sequences differ from each other by
conservative substitutions, the percent sequence identity or degree
of similarity may be adjusted upwards to correct for the
conservative nature of the substitution. Means for making this
adjustment are well-known to those of skill in the art. See, e.g.,
Pearson (1994) Methods Mol. Biol. 24: 307-331.
[0115] Sequence similarity for polypeptides, which is also referred
to as sequence identity, is typically measured using sequence
analysis software. Protein analysis software matches similar
sequences using measures of similarity assigned to various
substitutions, deletions and other modifications, including
conservative amino acid substitutions. For instance, GCG software
contains programs such as Gap and Bestfit which can be used with
default parameters to determine sequence homology or sequence
identity between closely related polypeptides, such as homologous
polypeptides from different species of organisms or between a wild
type protein and a mutein thereof. See, e.g., GCG Version 6.1.
Polypeptide sequences also can be compared using FASTA using
default or recommended parameters, a program in GCG Version 6.1.
FASTA (e.g., FASTA2 and FASTA3) provides alignments and percent
sequence identity of the regions of the best overlap between the
query and search sequences (Pearson (2000) supra). Another
preferred algorithm when comparing a sequence of the invention to a
database containing a large number of sequences from different
organisms is the computer program BLAST, especially BLASTP or
TBLASTN, using default parameters. See, e.g., Altschul et al.
(1990) J. Mol. Biol. 215:403-410 and Altschul et al. (1997) Nucleic
Acids Res. 25:3389-402.
pH-Dependent Binding
[0116] The present invention includes anti-CD28/anti-MUC16
bispecific antigen-binding molecules, with pH-dependent binding
characteristics. For example, an anti-CD28 antibody of the present
invention may exhibit reduced binding to CD28 at acidic pH as
compared to neutral pH. Alternatively, anti-MUC16 antibodies of the
invention may exhibit enhanced binding to MUC16 at acidic pH as
compared to neutral pH. The expression "acidic pH" includes pH
values less than about 6.2, e.g., about 6.0, 5.95, 5.9, 5.85, 5.8,
5.75, 5.7, 5.65, 5.6, 5.55, 5.5, 5.45, 5.4, 5.35, 5.3, 5.25, 5.2,
5.15, 5.1, 5.05, 5.0, or less. As used herein, the expression
"neutral pH" means a pH of about 7.0 to about 7.4. The expression
"neutral pH" includes pH values of about 7.0, 7.05, 7.1, 7.15, 7.2,
7.25, 7.3, 7.35, and 7.4.
[0117] In certain instances, "reduced binding . . . at acidic pH as
compared to neutral pH" is expressed in terms of a ratio of the
K.sub.D value of the antibody binding to its antigen at acidic pH
to the K.sub.D value of the antibody binding to its antigen at
neutral pH (or vice versa). For example, an antibody or
antigen-binding fragment thereof may be regarded as exhibiting
"reduced binding to CD28 at acidic pH as compared to neutral pH"
for purposes of the present invention if the antibody or
antigen-binding fragment thereof exhibits an acidic/neutral K.sub.D
ratio of about 3.0 or greater. In certain exemplary embodiments,
the acidic/neutral K.sub.D ratio for an antibody or antigen-binding
fragment of the present invention can be about 3.0, 3.5, 4.0, 4.5,
5.0, 5.5, 6.0, 6.5, 7.0, 7.5, 8.0, 8.5, 9.0, 9.5, 10.0, 10.5, 11.0,
11.5, 12.0, 12.5, 13.0, 13.5, 14.0, 14.5, 15.0, 20.0. 25.0, 30.0,
40.0, 50.0, 60.0, 70.0, 100.0 or greater.
[0118] Antibodies with pH-dependent binding characteristics may be
obtained, e.g., by screening a population of antibodies for reduced
(or enhanced) binding to a particular antigen at acidic pH as
compared to neutral pH. Additionally, modifications of the
antigen-binding domain at the amino acid level may yield antibodies
with pH-dependent characteristics. For example, by substituting one
or more amino acids of an antigen-binding domain (e.g., within a
CDR) with a histidine residue, an antibody with reduced
antigen-binding at acidic pH relative to neutral pH may be
obtained.
Antibodies Comprising Fc Variants
[0119] According to certain embodiments of the present invention,
anti-CD28/anti-MUC16 bispecific antigen binding molecules are
provided comprising an Fc domain comprising one or more mutations
which enhance or diminish antibody binding to the FcRn receptor,
e.g., at acidic pH as compared to neutral pH. For example, the
present invention includes antibodies and antigen binding molecules
comprising a mutation in the C.sub.H2 or a C.sub.H3 region of the
Fc domain, wherein the mutation(s) increases the affinity of the Fc
domain to FcRn in an acidic environment (e.g., in an endosome where
pH ranges from about 5.5 to about 6.0). Such mutations may result
in an increase in serum half-life of the antibody when administered
to an animal. Non-limiting examples of such Fc modifications
include, e.g., a modification at position 250 (e.g., E or Q); 250
and 428 (e.g., L or F); 252 (e.g., L/Y/F/W or T), 254 (e.g., S or
T), and 256 (e.g., S/R/Q/E/D or T); or a modification at position
428 and/or 433 (e.g., H/L/R/S/P/Q or K) and/or 434 (e.g., H/F or
Y); or a modification at position 250 and/or 428; or a modification
at position 307 or 308 (e.g., 308F, V308F), and 434. In one
embodiment, the modification comprises a 428L (e.g., M428L) and
434S (e.g., N434S) modification; a 428L, 259I (e.g., V259I), and
308F (e.g., V308F) modification; a 433K (e.g., H433K) and a 434
(e.g., 434Y) modification; a 252, 254, and 256 (e.g., 252Y, 254T,
and 256E) modification; a 250Q and 428L modification (e.g., T250Q
and M428L); and a 307 and/or 308 modification (e.g., 308F or
308P).
[0120] For example, the present invention includes
anti-CD28/anti-MUC16 bispecific antigen binding molecules
comprising an Fc domain comprising one or more pairs or groups of
mutations selected from the group consisting of: 250Q and 248L
(e.g., T250Q and M248L); 252Y, 254T and 256E (e.g., M252Y, S254T
and T256E); 428L and 434S (e.g., M428L and N434S); and 433K and
434F (e.g., H433K and N434F). All possible combinations of the
foregoing Fc domain mutations, and other mutations within the
antibody variable domains disclosed herein, are contemplated within
the scope of the present invention.
Biological Characteristics of the Antibodies and Antigen-Binding
Molecules
[0121] The present invention includes antibodies and
antigen-binding fragments thereof that bind human CD28 and/or MUC16
with high affinity. The present invention also includes antibodies
and antigen binding fragments thereof that bind human CD28 and/or
MUC16 with medium or low affinity, depending on the therapeutic
context and particular targeting properties that are desired. For
example, in the context of a bispecific antigen-binding molecule,
wherein one arm binds CD28 and another arm binds a target antigen
(e.g., MUC16), it may be desirable for the target antigen-binding
arm to bind the target antigen with high affinity while the
anti-CD28 arm binds CD28 with only moderate or low affinity. In
this manner, preferential targeting of the antigen-binding molecule
to cells expressing the target antigen may be achieved while
avoiding general/untargeted CD28 binding and the consequent adverse
side effects associated therewith.
[0122] According to certain embodiments, the present invention
includes antibodies and antigen-binding fragments of antibodies
that bind human CD28 (e.g., at 37.degree. C.) with a K.sub.D of
less than about 165 nM as measured by surface plasmon resonance,
e.g., using an assay format as defined in Example 4 herein. In
certain embodiments, the antibodies or antigen-binding fragments of
the present invention bind CD28 with a K.sub.D of less than about
150 nM, less than about 130 nM, less than about 120 nM, less than
about 100 nM, less than about 50 nM, less than about 80 nM, less
than about 60 nM, less than about 40 nM, or less than about 30 nM,
as measured by surface plasmon resonance, e.g., using an assay
format as defined in Example 4 herein, or a substantially similar
assay.
[0123] The present invention also includes antibodies and
antigen-binding fragments thereof that bind CD28 with a
dissociative half-life (t1/2) of greater than about 2.1 minutes as
measured by surface plasmon resonance at 37.degree. C., e.g., using
an assay format as defined in Example 4 herein, or a substantially
similar assay. In certain embodiments, the antibodies or
antigen-binding fragments of the present invention bind CD28 with a
t1/2 of greater than about 5 minutes, greater than about 10
minutes, greater than about 20 minutes, greater than about 30
minutes, greater than about 40 minutes, greater than about 50
minutes, greater than about 60 minutes, greater than about 70
minutes, greater than about 80 minutes, greater than about 90
minutes, greater than about 100 minutes, greater than about 200
minutes, greater than about 300 minutes, greater than about 400
minutes, greater than about 500 minutes, greater than about 600
minutes, greater than about 700 minutes, greater than about 800
minutes, greater than about 900 minutes, greater than about 1000
minutes, or greater than about 1200 minutes, as measured by surface
plasmon resonance at 25.degree. C. or 37.degree. C., e.g., using an
assay format as defined in Example 4 herein, or a substantially
similar assay.
[0124] The present invention includes bispecific antigen-binding
molecules (e.g., bispecific antibodies) which are capable of
simultaneously binding to human CD28 and human MUC16. According to
certain embodiments, the bispecific antigen-binding molecules of
the invention specifically interact with cells that express CD28
and/or MUC16. The extent to which a bispecific antigen-binding
molecule binds cells that express CD28 and/or MUC16 can be assessed
by fluorescence activated cell sorting (FACS), as illustrated in
Example 5 herein. For example, the present invention includes
bispecific antigen-binding molecules which specifically bind human
or cynomolgus cells which express CD28 but not MUC16 (e.g., T
cells), and human ovarian carcinoma cell lines which express MUC16
but not CD28 (e.g., OVCAR-3, or PEO1). The present invention
includes bispecific antigen-binding molecules which bind any of the
aforementioned cells and cell lines with an EC.sub.50 value of from
about 9.2.times.10.sup.-6 to about 2.8.times.10.sup.-10M, or less,
as determined using a FACS assay as set forth in Example 4 or a
substantially similar assay.
[0125] The present invention also provides anti-CD28/anti-MUC16
bispecific antigen-binding molecules that induce or increase T
cell-mediated killing of tumor cells. For example, the present
invention includes anti-CD28xMUC16 antibodies that induce or
increase T cell-mediated killing of tumor cells with an EC.sub.50
of less than about 392 pM, as measured in an in vitro T
cell-mediated tumor cell killing assay, e.g., using the assay
format as defined in Example 7 herein (e.g., assessing the extent
of PEO1 tumor cell killing by human or Cynomolgus PBMCs in the
presence of anti-CD28xMUC16 antibodies), or a substantially similar
assay. In certain embodiments, the antibodies or antigen-binding
fragments of the present invention induce T cell-mediated tumor
cell killing (e.g., PBMC mediated killing of PEO1 cells) with an
EC.sub.50 value of less than about 200 pM, less than about 150 pM,
less than about 100 pM, less than about 75 pM, less than about 50
pM, less than about 25 pM, less than about 10 pM, less than about
5.0 pM, less than about 4.0 pM, less than about 3.0 pM, less than
about 2.5 pM, less than about 2.0 pM, less than about 1.5 pM, or
less than about 1.45 pM, as measured by an in vitro T cell mediated
tumor cell killing assay, e.g., using the assay format as defined
in Example 7 herein, or a substantially similar assay.
[0126] The present invention also includes anti-CD28/anti-MUC16
bispecific antigen-binding molecules which bind to CD28-expressing
human and/or Cynomolgus T-cells with an EC.sub.50 value of between
1.0 .mu.M and 10 .mu.M. In certain embodiments, the
anti-CD28/anti-MUC16 bispecific antigen-binding molecules bind to
CD28-expressing human and/or Cynomolgus T-cells with an EC.sub.50
value of between 9.2 .mu.M and 120 nM. For example, the present
invention includes anti-CD28/anti-MUC16 bispecific antigen-binding
molecules which bind to CD28-expressing human T-cells with an
EC.sub.50 value of about 1 pM. about 10 pM, about 100 pM, about 500
pM, about 1 nM, about 2 nM, about 5 nM, about 10 nM, about 20 nM,
about 30 nM, about 40 nM, about 50 nM about 60 nM, about 70 nM,
about 80 nM, about 90 nM, about 100 nM, about 200 nM, about 300 nM,
about 500 nM, about 800 nM, about 1000 nM, about 2 .mu.M, about 4
.mu.M, about 6 .mu.M, about 8 .mu.M, about 10 .mu.M, or more.
[0127] The present invention also includes anti-CD28/anti-MUC16
bispecific antigen-binding molecules which exhibit one or more
characteristics selected from the group consisting of: (a)
activating T-cells, inducing IL-2 release, and CD25+ and PD-1
up-regulation in human PBMCs (see, e.g., Examples 6 and 7 herein);
(b) increasing human or cynomolgus T-cell mediated cytotoxicity on
MUC16 expressing cell lines (see, e.g., Example 7 herein); (c)
inducing naive primate T cell-mediated cytotoxicity on MUC16
expressing cell lines (see, e.g., Example 7 herein); (e) depleting
tumor cells in mice (e.g., Example 8 herein); (f) enhancing tumor
clearance in mice (e.g., Example 8 herein); (g) not inducing
systemic T cell activation in cynomolgus monkey.
[0128] The present invention includes anti-CD28/anti-MUC16
bispecific antigen-binding molecules which are capable of depleting
tumor cells in a subject (see, e.g., Example 9). For example,
according to certain embodiments, anti-CD28/anti-MUC16 bispecific
antigen-binding molecules are provided, wherein double
administrations of the bispecific antigen-binding molecule to a
subject (e.g., at a dose of about 5.0 mg/kg, about 2.5 mg/kg, about
1.0 mg/kg about 0.5 mg/kg, about 0.2 mg/kg, about 0.1 mg/kg, about
0.05 mg/kg, about 0.02 mg/kg, about 0.01 mg/kg or less) causes a
reduction in the number of tumor cells in the subject. According to
certain embodiments, anti-CD28/anti-MUC16 bispecific
antigen-binding molecules are provided, wherein double
administrations of the bispecific antigen-binding molecule to a
subject (e.g., at a dose of about 2500 mg, about 1000 mg, about 500
mg, about 200 mg, about 100 mg, about 50 mg/kg, about 25 mg/kg, or
less) causes a reduction in the number of tumor cells in the
subject.
Epitope Mapping and Related Technologies
[0129] The epitope on CD28 or MUC16 to which the antigen-binding
molecules of the present invention bind may consist of a single
contiguous sequence of 3 or more (e.g., 3, 4, 5, 6, 7, 8, 9, 10,
11, 12, 13, 14, 15, 16, 17, 18, 19, 20 or more) amino acids of a
CD28 protein or a MUC16 protein. Alternatively, the epitope may
consist of a plurality of non-contiguous amino acids (or amino acid
sequences) of CD28 or MUC16. The antibodies of the invention may
interact with amino acids contained within a CD28 monomer, or may
interact with amino acids on two different CD28 chains of a CD28
dimer. The term "epitope," as used herein, refers to an antigenic
determinant that interacts with a specific antigen binding site in
the variable region of an antibody molecule known as a paratope. A
single antigen may have more than one epitope. Thus, different
antibodies may bind to different areas on an antigen and may have
different biological effects. Epitopes may be either conformational
or linear. A conformational epitope is produced by spatially
juxtaposed amino acids from different segments of the linear
polypeptide chain. A linear epitope is one produced by adjacent
amino acid residues in a polypeptide chain. In certain
circumstance, an epitope may include moieties of saccharides,
phosphoryl groups, or sulfonyl groups on the antigen.
[0130] Various techniques known to persons of ordinary skill in the
art can be used to determine whether an antigen-binding domain of
an antibody "interacts with one or more amino acids" within a
polypeptide or protein. Exemplary techniques that can be used to
determine an epitope or binding domain of a particular antibody or
antigen-binding domain include, e.g., routine crossblocking assay
such as that described in Antibodies, Harlow and Lane (Cold Spring
Harbor Press, Cold Spring Harb., N.Y.), point mutagenesis (e.g.,
alanine scanning mutagenesis, arginine scanning mutagenesis, etc.),
peptide blots analysis (Reineke, 2004, Methods Mol Biol
248:443-463), protease protection, and peptide cleavage analysis.
In addition, methods such as epitope excision, epitope extraction
and chemical modification of antigens can be employed (Tomer, 2000,
Protein Science 9:487-496). Another method that can be used to
identify the amino acids within a polypeptide with which an
antibody interacts is hydrogen/deuterium exchange detected by mass
spectrometry. In general terms, the hydrogen/deuterium exchange
method involves deuterium-labeling the protein of interest,
followed by binding the antibody to the deuterium-labeled protein.
Next, the protein/antibody complex is transferred to water to allow
hydrogen-deuterium exchange to occur at all residues except for the
residues protected by the antibody (which remain
deuterium-labeled). After dissociation of the antibody, the target
protein is subjected to protease cleavage and mass spectrometry
analysis, thereby revealing the deuterium-labeled residues which
correspond to the specific amino acids with which the antibody
interacts. See, e.g., Ehring (1999) Analytical Biochemistry
267(2):252-259; Engen and Smith (2001) Anal. Chem. 73:256A-265A.
X-ray crystal structure analysis can also be used to identify the
amino acids within a polypeptide with which an antibody
interacts.
[0131] The present invention further includes anti-CD28 and
anti-MUC16 antibodies that bind to the same epitope as any of the
specific exemplary antibodies described herein (e.g. antibodies
comprising any of the amino acid sequences as set forth in Tables 1
and 3 herein). Likewise, the present invention also includes
anti-CD28 and/or anti-MUC16 antibodies that compete for binding to
CD28 and/or MUC16 with any of the specific exemplary antibodies
described herein (e.g. antibodies comprising any of the amino acid
sequences as set forth in Table 1 herein).
[0132] The present invention also includes bispecific
antigen-binding molecules comprising a first antigen-binding domain
that specifically binds human CD28, and a second antigen binding
fragment that specifically binds human MUC16, wherein the first
antigen-binding domain binds to the same epitope on CD28 as any of
the specific exemplary CD28-specific antigen-binding domains
described herein, and/or wherein the second antigen-binding domain
binds to the same epitope on MUC16 as any of the specific exemplary
MUC16-specific antigen-binding domains described herein.
[0133] Likewise, the present invention also includes bispecific
antigen-binding molecules comprising a first antigen-binding domain
that specifically binds human CD28, and a second antigen binding
fragment that specifically binds human MUC16, wherein the first
antigen-binding domain competes for binding to CD28 with any of the
specific exemplary CD28-specific antigen binding domains described
herein, and/or wherein the second antigen-binding domain competes
for binding to MUC16 with any of the specific exemplary
MUC16-specific antigen-binding domains described herein.
[0134] One can easily determine whether a particular
antigen-binding molecule (e.g., antibody) or antigen-binding domain
thereof binds to the same epitope as, or competes for binding with,
a reference antigen-binding molecule of the present invention by
using routine methods known in the art. For example, to determine
if a test antibody binds to the same epitope on CD28 (or MUC16) as
a reference bispecific antigen-binding molecule of the present
invention, the reference bispecific molecule is first allowed to
bind to a CD28 protein (or MUC16 protein). Next, the ability of a
test antibody to bind to the CD28 (or MUC16) molecule is assessed.
If the test antibody is able to bind to CD28 (or MUC16) following
saturation binding with the reference bispecific antigen-binding
molecule, it can be concluded that the test antibody binds to a
different epitope of CD28 (or MUC16) than the reference bispecific
antigen-binding molecule. On the other hand, if the test antibody
is not able to bind to the CD28 (or MUC16) molecule following
saturation binding with the reference bispecific antigen-binding
molecule, then the test antibody may bind to the same epitope of
CD28 (or MUC16) as the epitope bound by the reference bispecific
antigen-binding molecule of the invention. Additional routine
experimentation (e.g., peptide mutation and binding analyses) can
then be carried out to confirm whether the observed lack of binding
of the test antibody is in fact due to binding to the same epitope
as the reference bispecific antigen-binding molecule or if steric
blocking (or another phenomenon) is responsible for the lack of
observed binding. Experiments of this sort can be performed using
ELISA, RIA, Biacore, flow cytometry or any other quantitative or
qualitative antibody-binding assay available in the art. In
accordance with certain embodiments of the present invention, two
antigen-binding proteins bind to the same (or overlapping) epitope
if, e.g., a 1-, 5-, 10-, 20- or 100-fold excess of one
antigen-binding protein inhibits binding of the other by at least
50% but preferably 75%, 90% or even 99% as measured in a
competitive binding assay (see, e.g., Junghans et al., Cancer Res.
1990:50:1495-1502). Alternatively, two antigen-binding proteins are
deemed to bind to the same epitope if essentially all amino acid
mutations in the antigen that reduce or eliminate binding of one
antigen-binding protein reduce or eliminate binding of the other.
Two antigen-binding proteins are deemed to have "overlapping
epitopes" if only a subset of the amino acid mutations that reduce
or eliminate binding of one antigen-binding protein reduce or
eliminate binding of the other.
[0135] To determine if an antibody or antigen-binding domain
thereof competes for binding with a reference antigen-binding
molecule, the above-described binding methodology is performed in
two orientations: In a first orientation, the reference
antigen-binding molecule is allowed to bind to a CD28 protein (or
MUC16 protein) under saturating conditions followed by assessment
of binding of the test antibody to the CD28 (or MUC16) molecule. In
a second orientation, the test antibody is allowed to bind to a
CD28 (or MUC16) molecule under saturating conditions followed by
assessment of binding of the reference antigen-binding molecule to
the CD28 (or MUC16) molecule. If, in both orientations, only the
first (saturating) antigen-binding molecule is capable of binding
to the CD28 (or MUC16) molecule, then it is concluded that the test
antibody and the reference antigen-binding molecule compete for
binding to CD28 (or MUC16). As will be appreciated by a person of
ordinary skill in the art, an antibody that competes for binding
with a reference antigen-binding molecule may not necessarily bind
to the same epitope as the reference antibody, but may sterically
block binding of the reference antibody by binding an overlapping
or adjacent epitope.
Preparation of Antigen-Binding Domains and Construction of
Bispecific Molecules
[0136] Antigen-binding domains specific for particular antigens can
be prepared by any antibody generating technology known in the art.
Once obtained, two different antigen-binding domains, specific for
two different antigens (e.g., CD28 and MUC16), can be appropriately
arranged relative to one another to produce a bispecific
antigen-binding molecule of the present invention using routine
methods. (A discussion of exemplary bispecific antibody formats
that can be used to construct the bispecific antigen-binding
molecules of the present invention is provided elsewhere herein).
In certain embodiments, one or more of the individual components
(e.g., heavy and light chains) of the multispecific antigen-binding
molecules of the invention are derived from chimeric, humanized or
fully human antibodies. Methods for making such antibodies are well
known in the art. For example, one or more of the heavy and/or
light chains of the bispecific antigen-binding molecules of the
present invention can be prepared using VELOCIMMUNE.TM. technology.
Using VELOCIMMUNE.TM. technology (or any other human antibody
generating technology), high affinity chimeric antibodies to a
particular antigen (e.g., CD28 or MUC16) are initially isolated
having a human variable region and a mouse constant region. The
antibodies are characterized and selected for desirable
characteristics, including affinity, selectivity, epitope, etc. The
mouse constant regions are replaced with a desired human constant
region to generate fully human heavy and/or light chains that can
be incorporated into the bispecific antigen-binding molecules of
the present invention.
[0137] Genetically engineered animals may be used to make human
bispecific antigen binding molecules. For example, a genetically
modified mouse can be used which is incapable of rearranging and
expressing an endogenous mouse immunoglobulin light chain variable
sequence, wherein the mouse expresses only one or two human light
chain variable domains encoded by human immunoglobulin sequences
operably linked to the mouse kappa constant gene at the endogenous
mouse kappa locus. Such genetically modified mice can be used to
produce fully human bispecific antigen-binding molecules comprising
two different heavy chains that associate with an identical light
chain that comprises a variable domain derived from one of two
different human light chain variable region gene segments. (See,
e.g., US 2011/0195454 for a detailed discussion of such engineered
mice and the use thereof to produce bispecific antigen-binding
molecules).
Bioequivalents
[0138] The present invention encompass antigen-binding molecules
having amino acid sequences that vary from those of the described
antibodies but that retain the ability to bind CD28 and/or MUC16.
Such variant molecules comprise one or more additions, deletions,
or substitutions of amino acids when compared to parent sequence,
but exhibit biological activity that is essentially equivalent to
that of the described antigen-binding molecules. Likewise, the
antigen binding molecules-encoding DNA sequences of the present
invention encompass sequences that comprise one or more additions,
deletions, or substitutions of nucleotides when compared to the
disclosed sequence, but that encode an antigen binding molecule
that is essentially bioequivalent to the described antigen-binding
molecules of the invention. Examples of such variant amino acid and
DNA sequences are discussed above.
[0139] The present invention includes antigen-binding molecules
that are bioequivalent to any of the exemplary antigen-binding
molecules set forth herein. Two antigen-binding proteins, or
antibodies, are considered bioequivalent if, for example, they are
pharmaceutical equivalents or pharmaceutical alternatives whose
rate and extent of absorption do not show a significant difference
when administered at the same molar dose under similar experimental
conditions, either single does or multiple dose. Some antibodies
will be considered equivalents or pharmaceutical alternatives if
they are equivalent in the extent of their absorption but not in
their rate of absorption and yet may be considered bioequivalent
because such differences in the rate of absorption are intentional
and are reflected in the labeling, are not essential to the
attainment of effective body drug concentrations on, e.g., chronic
use, and are considered medically insignificant for the particular
drug product studied.
[0140] In one embodiment, two antigen-binding proteins are
bioequivalent if there are no clinically meaningful differences in
their safety, purity, and potency.
[0141] In one embodiment, two antigen-binding proteins are
bioequivalent if a patient can be switched one or more times
between the reference product and the biological product without an
expected increase in the risk of adverse effects, including a
clinically significant change in immunogenicity, or diminished
effectiveness, as compared to continued therapy without such
switching.
[0142] In one embodiment, two antigen-binding proteins are
bioequivalent if they both act by a common mechanism or mechanisms
of action for the condition or conditions of use, to the extent
that such mechanisms are known.
[0143] Bioequivalence may be demonstrated by in vivo and in vitro
methods. Bioequivalence measures include, e.g., (a) an in vivo test
in humans or other mammals, in which the concentration of the
antibody or its metabolites is measured in blood, plasma, serum, or
other biological fluid as a function of time; (b) an in vitro test
that has been correlated with and is reasonably predictive of human
in vivo bioavailability data; (c) an in vivo test in humans or
other mammals in which the appropriate acute pharmacological effect
of the antibody (or its target) is measured as a function of time;
and (d) in a well-controlled clinical trial that establishes
safety, efficacy, or bioavailability or bioequivalence of an
antibody.
[0144] Bioequivalent variants of the exemplary bispecific
antigen-binding molecules set forth herein may be constructed by,
for example, making various substitutions of residues or sequences
or deleting terminal or internal residues or sequences not needed
for biological activity. For example, cysteine residues not
essential for biological activity can be deleted or replaced with
other amino acids to prevent formation of unnecessary or incorrect
intramolecular disulfide bridges upon renaturation. In other
contexts, bioequivalent antibodies may include the exemplary
bispecific antigen-binding molecules set forth herein comprising
amino acid changes which modify the glycosylation characteristics
of the antibodies, e.g., mutations which eliminate or remove
glycosylation.
Species Selectivity and Species Cross-Reactivity
[0145] The present invention, according to certain embodiments,
provides antigen-binding molecules that bind to human CD28 but not
to CD28 from other species. The present invention also provides
antigen-binding molecules that bind to human MUC16 but not to MUC16
from other species. The present invention also includes
antigen-binding molecules that bind to human CD28 and to CD28 from
one or more non-human species; and/or antigen-binding molecules
that bind to human MUC16 and to MUC16 from one or more non-human
species.
[0146] According to certain exemplary embodiments of the invention,
antigen-binding molecules are provided which bind to human CD28
and/or human MUC16 and may bind or not bind, as the case may be, to
one or more of mouse, rat, guinea pig, hamster, gerbil, pig, cat,
dog, rabbit, goat, sheep, cow, horse, camel, cynomolgus, marmoset,
rhesus or chimpanzee CD28 and or MUC16. For example, in a
particular exemplary embodiment of the present invention,
bispecific antigen-binding molecules are provided comprising a
first antigen-binding domain that binds human CD28 and cynomolgus
CD28, and a second antigen-binding domain that specifically binds
human MUC16.
Immunoconjugates
[0147] The present invention encompasses antigen-binding molecules
conjugated to a therapeutic moiety ("immunoconjugate"), such as a
cytotoxin, a chemotherapeutic drug, an immunosuppressant or a
radioisotope. Cytotoxic agents include any agent that is
detrimental to cells. Examples of suitable cytotoxic agents and
chemotherapeutic agents for forming immunoconjugates are known in
the art, (see for example, WO 05/103081).
Therapeutic Formulation and Administration
[0148] The present invention provides pharmaceutical compositions
comprising the antigen binding molecules of the present invention.
The pharmaceutical compositions of the invention are formulated
with suitable carriers, excipients, and other agents that provide
improved transfer, delivery, tolerance, and the like. A multitude
of appropriate formulations can be found in the formulary known to
all pharmaceutical chemists: Remington's Pharmaceutical Sciences,
Mack Publishing Company, Easton, Pa. These formulations include,
for example, powders, pastes, ointments, jellies, waxes, oils,
lipids, lipid (cationic or anionic) containing vesicles (such as
LIPOFECTIN.TM., Life Technologies, Carlsbad, Calif.), DNA
conjugates, anhydrous absorption pastes, oil-in-water and
water-in-oil emulsions, emulsions carbowax (polyethylene glycols of
various molecular weights), semi-solid gels, and semi-solid
mixtures containing carbowax. See also Powell et al. "Compendium of
excipients for parenteral formulations" PDA (1998) J Pharm Sci
Technol 52:238-311.
[0149] The dose of antigen-binding molecule administered to a
patient may vary depending upon the age and the size of the
patient, target disease, conditions, route of administration, and
the like. The preferred dose is typically calculated according to
body weight or body surface area. When a bispecific antigen-binding
molecule of the present invention is used for therapeutic purposes
in an adult patient, it may be advantageous to intravenously
administer the bispecific antigen-binding molecule of the present
invention normally at a single dose of about 0.01 to about 20 mg/kg
body weight, more preferably about 0.02 to about 7, about 0.03 to
about 5, or about 0.05 to about 3 mg/kg body weight. Depending on
the severity of the condition, the frequency and the duration of
the treatment can be adjusted. Effective dosages and schedules for
administering a bispecific antigen-binding molecule may be
determined empirically; for example, patient progress can be
monitored by periodic assessment, and the dose adjusted
accordingly. Moreover, interspecies scaling of dosages can be
performed using well-known methods in the art (e.g., Mordenti et
al., 1991, Pharmaceut. Res. 8:1351).
[0150] Various delivery systems are known and can be used to
administer the pharmaceutical composition of the invention, e.g.,
encapsulation in liposomes, microparticles, microcapsules,
recombinant cells capable of expressing the mutant viruses,
receptor mediated endocytosis (see, e.g., Wu et al., 1987, J. Biol.
Chem. 262:4429-4432). Methods of introduction include, but are not
limited to, intradermal, intramuscular, intraperitoneal,
intravenous, subcutaneous, intranasal, epidural, and oral routes.
The composition may be administered by any convenient route, for
example by infusion or bolus injection, by absorption through
epithelial or mucocutaneous linings (e.g., oral mucosa, rectal and
intestinal mucosa, etc.) and may be administered together with
other biologically active agents. Administration can be systemic or
local.
[0151] A pharmaceutical composition of the present invention can be
delivered subcutaneously or intravenously with a standard needle
and syringe. In addition, with respect to subcutaneous delivery, a
pen delivery device readily has applications in delivering a
pharmaceutical composition of the present invention. Such a pen
delivery device can be reusable or disposable. A reusable pen
delivery device generally utilizes a replaceable cartridge that
contains a pharmaceutical composition. Once all of the
pharmaceutical composition within the cartridge has been
administered and the cartridge is empty, the empty cartridge can
readily be discarded and replaced with a new cartridge that
contains the pharmaceutical composition. The pen delivery device
can then be reused. In a disposable pen delivery device, there is
no replaceable cartridge. Rather, the disposable pen delivery
device comes prefilled with the pharmaceutical composition held in
a reservoir within the device. Once the reservoir is emptied of the
pharmaceutical composition, the entire device is discarded.
[0152] Numerous reusable pen and autoinjector delivery devices have
applications in the subcutaneous delivery of a pharmaceutical
composition of the present invention. Examples include, but are not
limited to AUTOPEN.TM. (Owen Mumford, Inc., Woodstock, UK),
DISETRONIC.TM. pen (Disetronic Medical Systems, Bergdorf,
Switzerland), HUMALOG MIX 75/25.TM. pen, HUMALOG.TM. pen, HUMALIN
70/30.TM. pen (Eli Lilly and Co., Indianapolis, Ind.), NOVOPEN.TM.
I, II and III (Novo Nordisk, Copenhagen, Denmark), NOVOPEN
JUNIOR.TM. (Novo Nordisk, Copenhagen, Denmark), BD.TM. pen (Becton
Dickinson, Franklin Lakes, N.J.), OPTIPEN.TM., OPTIPEN PRO.TM.,
OPTIPEN STARLET.TM., and OPTICLIK.TM. (Sanofi-Aventis, Frankfurt,
Germany), to name only a few. Examples of disposable pen delivery
devices having applications in subcutaneous delivery of a
pharmaceutical composition of the present invention include, but
are not limited to the SOLOSTAR.TM. pen (Sanofi-Aventis), the
FLEXPEN.TM. (Novo Nordisk), and the KWIKPEN.TM. (Eli Lilly), the
SURECLICK.TM. Autoinjector (Amgen, Thousand Oaks, Calif.), the
PENLET.TM. (Haselmeier, Stuttgart, Germany), the EPIPEN (Dey, L.
P.), and the HUMIRA.TM. Pen (Abbott Labs, Abbott Park Ill.), to
name only a few.
[0153] In certain situations, the pharmaceutical composition can be
delivered in a controlled release system. In one embodiment, a pump
may be used (see Langer, supra; Sefton, 1987, CRC Crit. Ref.
Biomed. Eng. 14:201). In another embodiment, polymeric materials
can be used; see, Medical Applications of Controlled Release,
Langer and Wise (eds.), 1974, CRC Pres., Boca Raton, Fla. In yet
another embodiment, a controlled release system can be placed in
proximity of the composition's target, thus requiring only a
fraction of the systemic dose (see, e.g., Goodson, 1984, in Medical
Applications of Controlled Release, supra, vol. 2, pp. 115-138).
Other controlled release systems are discussed in the review by
Langer, 1990, Science 249:1527-1533.
[0154] The injectable preparations may include dosage forms for
intravenous, subcutaneous, intracutaneous and intramuscular
injections, drip infusions, etc. These injectable preparations may
be prepared by methods publicly known. For example, the injectable
preparations may be prepared, e.g., by dissolving, suspending or
emulsifying the antibody or its salt described above in a sterile
aqueous medium or an oily medium conventionally used for
injections. As the aqueous medium for injections, there are, for
example, physiological saline, an isotonic solution containing
glucose and other auxiliary agents, etc., which may be used in
combination with an appropriate solubilizing agent such as an
alcohol (e.g., ethanol), a polyalcohol (e.g., propylene glycol,
polyethylene glycol), a nonionic surfactant [e.g., polysorbate 80,
HCO-50 (polyoxyethylene (50 mol) adduct of hydrogenated castor
oil)], etc. As the oily medium, there are employed, e.g., sesame
oil, soybean oil, etc., which may be used in combination with a
solubilizing agent such as benzyl benzoate, benzyl alcohol, etc.
The injection thus prepared is preferably filled in an appropriate
ampoule.
[0155] Advantageously, the pharmaceutical compositions for oral or
parenteral use described above are prepared into dosage forms in a
unit dose suited to fit a dose of the active ingredients. Such
dosage forms in a unit dose include, for example, tablets, pills,
capsules, injections (ampoules), suppositories, etc. The amount of
the aforesaid antibody contained is generally about 5 to about 500
mg per dosage form in a unit dose; especially in the form of
injection, it is preferred that the aforesaid antibody is contained
in about 5 to about 100 mg and in about 10 to about 250 mg for the
other dosage forms.
Therapeutic Uses of the Antigen-Binding Molecules
[0156] The present invention includes methods comprising
administering to a subject in need thereof a therapeutic
composition comprising an anti-CD28 antibody or a bispecific
antigen binding molecule that specifically binds CD28 and a target
antigen (e.g., MUC16). The therapeutic composition can comprise any
of the antibodies or bispecific antigen-binding molecules as
disclosed herein and a pharmaceutically acceptable carrier or
diluent. As used herein, the expression "a subject in need thereof"
means a human or non-human animal that exhibits one or more
symptoms or indicia of cancer (e.g., a subject expressing a tumor
or suffering from any of the cancers mentioned herein below), or
who otherwise would benefit from an inhibition or reduction in
MUC16 activity or a depletion of MUC16+ cells.
[0157] The antibodies and bispecific antigen-binding molecules of
the invention (and therapeutic compositions comprising the same)
are useful, inter alia, for treating any disease or disorder in
which stimulation, activation and/or targeting of an immune
response would be beneficial. In particular, the
anti-CD28/anti-MUC16 bispecific antigen-binding molecules of the
present invention may be used for the treatment, prevention and/or
amelioration of any disease or disorder associated with or mediated
by MUC16 expression or activity or the proliferation of MUC16+
cells. The mechanism of action by which the therapeutic methods of
the invention are achieved include killing of the cells expressing
MUC16 in the presence of effector cells, for example, T cells.
Cells expressing MUC16 which can be inhibited or killed using the
bispecific antigen-binding molecules of the invention include, for
example, tumorigenic ovarian cells.
[0158] The antigen-binding molecules of the present invention may
be used to treat, e.g., primary and/or metastatic tumors arising in
the colon, lung, breast, renal cancer, and subtypes of bladder
cancer. According to certain exemplary embodiments, the bispecific
antigen binding molecules of the present invention are used to
treat a ovarian cancer.
[0159] The present invention also includes methods for treating
residual cancer in a subject. As used herein, the term "residual
cancer" means the existence or persistence of one or more cancerous
cells in a subject following treatment with an anti-cancer
therapy.
[0160] According to certain aspects, the present invention provides
methods for treating a disease or disorder associated with MUC16
expression (e.g., MUC16 expressing cancer such as ovarian cancer)
comprising administering one or more of the bispecific
antigen-binding molecules described elsewhere herein to a subject
after the subject has been shown to be non-responsive to other
types of anti-cancer therapies. For example, the present invention
includes methods for treating ovarian cancer comprising
administering an anti-CD28/anti-MUC16 bispecific antigen-binding
molecule to a patient 1 day, 2 days, 3 days, 4 days, 5 days, 6
days, 1 week, 2 weeks, 3 weeks or 4 weeks, 2 months, 4 months, 6
months, 8 months, 1 year, or more after the subject has received
the standard of care for patients suffering from cancer, e.g.,
ovarian cancer. In other aspects, a bispecific antigen-binding
molecule of the invention (an anti-CD28/anti-MUC16 bispecific
antigen binding molecule) comprising an IgG4 Fc domain is initially
administered to a subject at one or more time points (e.g., to
provide robust initial depletion of ovarian cancer cells), followed
by administration of an equivalent bispecific antigen-binding
molecule comprising a different IgG domain, such as an IgG1 Fc
domain, at subsequent time points. It is envisioned that the
anti-CD28/anti-MUC16 antibodies of the invention may be used in
conjunction with other bispecific antigen binding molecules, such
as with an anti-MUC16/anti-CD3 bispecific antibody. It is also
envisioned that the bispecific antibodies of the invention will be
used in conjunction with checkpoint inhibitors, for example, those
that target PD-1 and CTLA-4, and other targets. It may be
advantageous to combine two bispecific antibodies that target the
same tumor antigen (e.g. MUC16), but with one of the bispecifics
targeting the CD3 on T cells and the other bispecific targeting a
co-stimulator molecule like CD28. This combination may be used
alone to enhance tumor cell killing, or may be used in combination
with a checkpoint inhibitor.
[0161] Exemplary MUC16 expressing cancers include, but are not
limited to ovarian cancer, breast cancer, endometrial cancer,
pancreatic cancer, non-small-cell lung cancer, intrahepatic
cholangiocarcinoma-mass forming type, adenocarcinoma of the uterine
cervix, and adenocarcinoma of the gastric tract.
Combination Therapies and Formulations
[0162] The present invention includes compositions and therapeutic
formulations comprising any of the exemplary antibodies and
bispecific antigen-binding molecules described herein in
combination with one or more additional therapeutically active
components, and methods of treatment comprising administering such
combinations to subjects in need thereof.
[0163] Exemplary additional therapeutic agents that may be combined
with or administered in combination with an antigen-binding
molecule of the present invention include, e.g., chemotherapy,
radiation therapy, checkpoint inhibitors that target PD-1 (e.g., an
anti-PD-1 antibody such as pembrolizumab, nivolumab, or cemiplimab
(see U.S. Pat. No. 9,987,500)), CTLA-4, LAG3, TIM3, and others,
costimulatory agonist bivalent antibodies that target molecules
such as GITR, OX40, 4-1BB, and others), CD3x bispecific antibodies
(See for example WO2017/053856A1, WO2014/047231A1, WO2018/067331A1
and WO2018/058001A1), other antibodies that target MUC16 X CD3 (See
for example WO2017/053856A1) and other costimulatory CD28
bispecific antibodies.
[0164] Other agents that may be beneficially administered in
combination with antibodies of the invention include, e.g.,
tamoxifen, aromatase inhibitors, and cytokine inhibitors, including
small-molecule cytokine inhibitors and antibodies that bind to
cytokines such as IL-1, IL-2, IL-3, IL-4, IL-5, IL-6, IL-8, IL-9,
IL-11, IL-12, IL-13, IL-17, IL-18, or to their respective
receptors. The pharmaceutical compositions of the present invention
(e.g., pharmaceutical compositions comprising an
anti-CD28/anti-MUC16 bispecific antigen-binding molecule as
disclosed herein) may also be administered as part of a therapeutic
regimen comprising one or more therapeutic combinations selected
from "ICE": ifosfamide (e.g., Ifex.RTM.), carboplatin (e.g.,
Paraplatin.RTM.), etoposide (e.g., Etopophos.RTM., Toposar.RTM.,
VePesid.RTM., VP-16); "DHAP": dexamethasone (e.g., Decadron.RTM.),
cytarabine (e.g., Cytosar-U.RTM., cytosine arabinoside, ara-C),
cisplatin (e.g., Platinol.RTM.-AQ); and "ESHAP": etoposide (e.g.,
Etopophos.RTM., Toposar.RTM., VePesid.RTM., VP-16),
methylprednisolone (e.g., Medrol.RTM.), high-dose cytarabine,
cisplatin (e.g., Platinol.RTM.-AQ).
[0165] The present invention also includes therapeutic combinations
comprising any of the antigen-binding molecules mentioned herein
and an inhibitor of one or more of VEGF, Ang2, DLL4, EGFR, ErbB2,
ErbB3, ErbB4, EGFRvIII, cMet, IGF1 R, B-raf, PDGFR-o, PDGFR-13,
FOLH1, PRLR, STEAP1, STEAP2, TMPRSS2, MSLN, CA9, uroplakin, or any
of the aforementioned cytokines, wherein the inhibitor is an
aptamer, an antisense molecule, a ribozyme, an siRNA, a peptibody,
a nanobody or an antibody fragment (e.g., Fab fragment;
F(ab').sub.2 fragment; Fd fragment; Fv fragment; scFv; dAb
fragment; or other engineered molecules, such as diabodies,
triabodies, tetrabodies, minibodies and minimal recognition units).
The antigen-binding molecules of the invention may also be
administered and/or co-formulated in combination with antivirals,
antibiotics, analgesics, corticosteroids and/or NSAIDs. The
antigen-binding molecules of the invention may also be administered
as part of a treatment regimen that also includes radiation
treatment and/or conventional chemotherapy, or treatment with a
biologic, including checkpoint inhibitors or other bispecific
antibodies.
[0166] The present invention includes compositions and therapeutic
formulations comprising any of the antigen-binding molecules
described herein in combination with one or more chemotherapeutic
agents. Examples of chemotherapeutic agents include alkylating
agents such as thiotepa and cyclosphosphamide (Cytoxan.TM.); alkyl
sulfonates such as busulfan, improsulfan and piposulfan; aziridines
such as benzodopa, carboquone, meturedopa, and uredopa;
ethylenimines and methylamelamines including altretamine,
triethylenemelamine, trietylenephosphoramide,
triethylenethiophosphaoramide and trimethylolomelamine; nitrogen
mustards such as chlorambucil, chlornaphazine, cholophosphamide,
estramustine, ifosfamide, mechlorethamine, mechlorethamine oxide
hydrochloride, melphalan, novembichin, phenesterine, prednimustine,
trofosfamide, uracil mustard; nitrosureas such as carmustine,
chlorozotocin, fotemustine, lomustine, nimustine, ranimustine;
antibiotics such as aclacinomysins, actinomycin, authramycin,
azaserine, bleomycins, cactinomycin, calicheamicin, carabicin,
carminomycin, carzinophilin, chromomycins, dactinomycin,
daunorubicin, detorubicin, 6-diazo-5-oxo-L-norleucine, doxorubicin,
epirubicin, esorubicin, idarubicin, marcellomycin, mitomycins,
mycophenolic acid, nogalamycin, olivomycins, peplomycin,
potfiromycin, puromycin, quelamycin, rodorubicin, streptonigrin,
streptozocin, tubercidin, ubenimex, zinostatin, zorubicin;
anti-metabolites such as methotrexate and 5-fluorouracil (5-FU);
folic acid analogues such as denopterin, methotrexate, pteropterin,
trimetrexate; purine analogs such as fludarabine, 6-mercaptopurine,
thiamiprine, thioguanine; pyrimidine analogs such as ancitabine,
azacitidine, 6-azauridine, carmofur, cytarabine, dideoxyuridine,
doxifluridine, enocitabine, floxuridine; androgens such as
calusterone, dromostanolone propionate, epitiostanol, mepitiostane,
testolactone; anti-adrenals such as aminoglutethimide, mitotane,
trilostane; folic acid replenisher such as frolinic acid;
aceglatone; aldophosphamide glycoside; aminolevulinic acid;
amsacrine; bestrabucil; bisantrene; edatraxate; defofamine;
demecolcine; diaziquone; elfornithine; elliptinium acetate;
etoglucid; gallium nitrate; hydroxyurea; lentinan; lonidamine;
mitoguazone; mitoxantrone; mopidamol; nitracrine; pentostatin;
phenamet; pirarubicin; podophyllinic acid; 2-ethylhydrazide;
procarbazine; PSK.TM.; razoxane; sizofiran; spirogermanium;
tenuazonic acid; triaziquone; 2,2',2''-trichlorotriethylamine;
urethan; vindesine; dacarbazine; mannomustine; mitobronitol;
mitolactol; pipobroman; gacytosine; arabinoside ("Ara-C");
cyclophosphamide; thiotepa; taxanes, e.g. paclitaxel (Taxol.TM.,
Bristol-Myers Squibb Oncology, Princeton, N.J.) and docetaxel
(Taxotere.TM.; Aventis Antony, France); chlorambucil; gemcitabine;
6-thioguanine; mercaptopurine; methotrexate; platinum analogs such
as cisplatin and carboplatin; vinblastine; platinum; etoposide
(VP-16); ifosfamide; mitomycin C; mitoxantrone; vincristine;
vinorelbine; navelbine; novantrone; teniposide; daunomycin;
aminopterin; xeloda; ibandronate; CPT-11; topoisomerase inhibitor
RFS 2000; difluoromethylornithine (DMFO); retinoic acid;
esperamicins; capecitabine; and pharmaceutically acceptable salts,
acids or derivatives of any of the above. Also included in this
definition are anti-hormonal agents that act to regulate or inhibit
hormone action on tumors such as anti-estrogens including for
example tamoxifen, raloxifene, aromatase inhibiting
4(5)-imidazoles, 4-hydroxytamoxifen, trioxifene, keoxifene, LY
117018, onapristone, and toremifene (Fareston); and anti-androgens
such as flutamide, nilutamide, bicalutamide, leuprolide, and
goserelin; and pharmaceutically acceptable salts, acids or
derivatives of any of the above.
[0167] The additional therapeutically active component(s) may be
administered just prior to, concurrent with, or shortly after the
administration of an antigen-binding molecule of the present
invention; (for purposes of the present disclosure, such
administration regimens are considered the administration of an
antigen-binding molecule "in combination with" an additional
therapeutically active component).
[0168] The present invention includes pharmaceutical compositions
in which an antigen binding molecule of the present invention is
co-formulated with one or more of the additional therapeutically
active component(s) as described elsewhere herein.
Administration Regimens
[0169] According to certain embodiments of the present invention,
multiple doses of an antigen-binding molecule (e.g., an anti-CD28
antibody or a bispecific antigen-binding molecule that specifically
binds MUC16 and CD28) may be administered to a subject over a
defined time course. The methods according to this aspect of the
invention comprise sequentially administering to a subject multiple
doses of an antigen-binding molecule of the invention. As used
herein, "sequentially administering" means that each dose of an
antigen-binding molecule is administered to the subject at a
different point in time, e.g., on different days separated by a
predetermined interval (e.g., hours, days, weeks or months). The
present invention includes methods which comprise sequentially
administering to the patient a single initial dose of an
antigen-binding molecule, followed by one or more secondary doses
of the antigen-binding molecule, and optionally followed by one or
more tertiary doses of the antigen-binding molecule.
[0170] The terms "initial dose," "secondary doses," and "tertiary
doses," refer to the temporal sequence of administration of the
antigen-binding molecule of the invention. Thus, the "initial dose"
is the dose which is administered at the beginning of the treatment
regimen (also referred to as the "baseline dose"); the "secondary
doses" are the doses which are administered after the initial dose;
and the "tertiary doses" are the doses which are administered after
the secondary doses. The initial, secondary, and tertiary doses may
all contain the same amount of the antigen-binding molecule, but
generally may differ from one another in terms of frequency of
administration. In certain embodiments, however, the amount of an
antigen-binding molecule contained in the initial, secondary and/or
tertiary doses varies from one another (e.g., adjusted up or down
as appropriate) during the course of treatment. In certain
embodiments, two or more (e.g., 2, 3, 4, or 5) doses are
administered at the beginning of the treatment regimen as "loading
doses" followed by subsequent doses that are administered on a less
frequent basis (e.g., "maintenance doses").
[0171] In one exemplary embodiment of the present invention, each
secondary and/or tertiary dose is administered 1 to 26 (e.g., 1,
11/2, 2, 21/2, 3, 31/2, 4, 41/2, 5, 51/2, 6, 61/2, 7, 71/2, 8,
81/2, 9, 91/2, 10, 101/2, 11, 111/2, 12, 121/2, 13, 131/2, 14,
141/2, 15, 151/2, 16, 161/2, 17, 171/2, 18, 181/2, 19, 191/2, 20,
201/2, 21, 211/2, 22, 221/2, 23, 231/2, 24, 241/2, 25, 251/2, 26,
261/2, or more) weeks after the immediately preceding dose. The
phrase "the immediately preceding dose," as used herein, means, in
a sequence of multiple administrations, the dose of antigen-binding
molecule which is administered to a patient prior to the
administration of the very next dose in the sequence with no
intervening doses.
[0172] The methods according to this aspect of the invention may
comprise administering to a patient any number of secondary and/or
tertiary doses of an antigen-binding molecule (e.g., an anti-CD28
antibody or a bispecific antigen-binding molecule that specifically
binds MUC16 and CD28). For example, in certain embodiments, only a
single secondary dose is administered to the patient. In other
embodiments, two or more (e.g., 2, 3, 4, 5, 6, 7, 8, or more)
secondary doses are administered to the patient. Likewise, in
certain embodiments, only a single tertiary dose is administered to
the patient. In other embodiments, two or more (e.g., 2, 3, 4, 5,
6, 7, 8, or more) tertiary doses are administered to the
patient.
[0173] In embodiments involving multiple secondary doses, each
secondary dose may be administered at the same frequency as the
other secondary doses. For example, each secondary dose may be
administered to the patient 1 to 2 weeks after the immediately
preceding dose. Similarly, in embodiments involving multiple
tertiary doses, each tertiary dose may be administered at the same
frequency as the other tertiary doses. For example, each tertiary
dose may be administered to the patient 2 to 4 weeks after the
immediately preceding dose. Alternatively, the frequency at which
the secondary and/or tertiary doses are administered to a patient
can vary over the course of the treatment regimen. The frequency of
administration may also be adjusted during the course of treatment
by a physician depending on the needs of the individual patient
following clinical examination.
[0174] In one embodiment, the antigen-binding molecule (e.g., a
bispecific antigen-binding molecule that specifically binds MUC16
and CD28) is administered to a subject as a weight-based dose. A
"weight-based dose" (e.g., a dose in mg/kg) is a dose of the
antibody or the antigen-binding fragment thereof or the bispecific
antigen-binding molecule that will change depending on the
subject's weight.
[0175] In another embodiment, an antibody or the antigen-binding
fragment thereof or a bispecific antigen-binding molecule is
administered to a subject as a fixed dose. A "fixed dose" (e.g., a
dose in mg) means that one dose of the antibody or the
antigen-binding fragment thereof or the bispecific antigen-binding
molecule is used for all subjects regardless of any specific
subject-related factors, such as weight. In one particular
embodiment, a fixed dose of an antibody or the antigen-binding
fragment thereof or a bispecific antigen-binding molecule of the
invention is based on a predetermined weight or age.
[0176] In general, a suitable dose of the antigen binding molecule
the invention can be in the range of about 0.001 to about 200.0
milligram per kilogram body weight of the recipient, generally in
the range of about 1 to 50 mg per kilogram body weight. For
example, the antibody or the antigen-binding fragment thereof or
the bispecific antigen-binding molecule can be administered at
about 0.1 mg/kg, about 0.2 mg/kg, about 0.5 mg/kg, about 1 mg/kg,
about 1.5 mg/kg, about 2 mg/kg, about 3 mg/kg, about 5 mg/kg, about
10 mg/kg, about 15 mg/kg, about 20 mg/kg, about 25 mg/kg, about 30
mg/kg, about 40 mg/kg, about 50 mg/kg per single dose. Values and
ranges intermediate to the recited values are also intended to be
part of this invention.
[0177] In some embodiments, the antigen binding molecule of the
invention is administered as a fixed dose of between about 25 mg to
about 2500 mg. In some embodiments, the antigen binding molecule of
the invention is administered as a fixed dose of about 25 mg, about
30 mg, about 50 mg, about 75 mg, about 100 mg, about 125 mg, about
150 mg, about 175 mg, 200 mg, about 225 mg, about 250 mg, about 275
mg, about 300 mg, about 325 mg, about 350 mg, about 375 mg, about
400 mg, about 425 mg, about 450 mg, about 475 mg, about 500 mg,
about 525 mg, about 550 mg, about 575 mg, about 600 mg, about 625
mg, about 650 mg, about 675 mg, about 700 mg, about 725 mg, about
750 mg, about 775 mg, about 800 mg, about 825 mg, about 850 mg,
about 875 mg, about 900 mg, about 925 mg, about 950 mg, about 975
mg, about 1000 mg, about 1500 mg, about 2000 mg, or about 2500 mg.
Values and ranges intermediate to the recited values are also
intended to be part of this invention.
Diagnostic Uses of the Antibodies
[0178] The bispecific antibodies of the present invention may also
be used to detect and/or measure CD28 or MUC16, or CD28-expressing
or MUC16-expressing cells in a sample, e.g., for diagnostic
purposes. For example, an anti-CD28 x MUC16 antibody, or fragment
thereof, may be used to diagnose a condition or disease
characterized by aberrant expression (e.g., over-expression,
under-expression, lack of expression, etc.) of CD28 or MUC16.
Exemplary diagnostic assays for CD28 or MUC16 may comprise, e.g.,
contacting a sample, obtained from a patient, with an antibody of
the invention, wherein the antibody is labeled with a detectable
label or reporter molecule. Alternatively, an unlabeled antibody
can be used in diagnostic applications in combination with a
secondary antibody which is itself detectably labeled. The
detectable label or reporter molecule can be a radioisotope, such
as .sup.3H, .sup.14C, .sup.32P, .sup.35S, or .sup.125I; a
fluorescent or chemiluminescent moiety such as fluorescein
isothiocyanate, or rhodamine; or an enzyme such as alkaline
phosphatase, betagalactosidase, horseradish peroxidase, or
luciferase. Specific exemplary assays that can be used to detect or
measure CD28 or MUC16 in a sample include enzyme-linked
immunosorbent assay (ELISA), radioimmunoassay (RIA), and
fluorescence-activated cell sorting (FACS). Samples that can be
used in CD28 or MUC16 diagnostic assays according to the present
invention include any tissue or fluid sample obtainable from a
patient which contains detectable quantities of CD28 or MUC16
protein, or fragments thereof, under normal or pathological
conditions. Generally, levels of CD28 or MUC16 in a particular
sample obtained from a healthy patient (e.g., a patient not
afflicted with a disease or condition associated with abnormal CD28
or MUC16 levels or activity) will be measured to initially
establish a baseline, or standard, level of CD28 or MUC16. This
baseline level of CD28 or MUC16 can then be compared against the
levels of CD28 or MUC16 measured in samples obtained from
individuals suspected of having a CD28 or MUC16 related disease or
condition.
EXAMPLES
[0179] The following examples are put forth so as to provide those
of ordinary skill in the art with a complete disclosure and
description of how to make and use the methods and compositions of
the invention, and are not intended to limit the scope of what the
inventors regard as their invention. Efforts have been made to
ensure accuracy with respect to numbers used (e.g., amounts,
temperature, etc.) but some experimental errors and deviations
should be accounted for. Unless indicated otherwise, parts are
parts by weight, molecular weight is average molecular weight,
temperature is in degrees Centigrade, and pressure is at or near
atmospheric.
Background
[0180] T cell activation is initiated upon binding of the T Cell
Receptor (TCR)/CD3 complex to peptide-MHC complexes ("signal 1");
activation is then enhanced by engagement of a second
"co-stimulatory" receptor, such as the CD28 receptor on T cells
binding to its cognate ligand(s) on the target cell ("signal 2").
Recently described CD3-based "bispecific antibodies" act by
replacing conventional signal 1, linking T cells to tumor cells by
binding a tumor-specific antigen (TSA) with one arm of the
bispecific, and bridging to TCR/CD3 with the other. Although some
of these so-called TSAxCD3 bispecifics have demonstrated promising
anti-tumor efficacy in cancer patients, their activity remains to
be optimized. As described elsewhere herein, introduced in the
present invention is a novel class of bispecific antibodies that
mimic signal 2, by bridging a second TSA to the co-stimulatory CD28
receptor on T cells. These bispecific antibodies were termed
TSAxCD28 bispecifics. As described herein, one exemplary antibody
of the present invention is specific for ovarian cancer antigens
(e.g., MUC16). Unlike CD28 superagonists, which broadly activate T
cells and resulted in profound toxicity in early clinical trials,
these TSAxCD28 bispecifics show limited activity and no toxicity
when used alone in genetically-humanized immuno-competent mouse
models, or in primates. However, when combined with TSAxCD3
bispecifics, the exemplary antibody of the invention enhanced the
artificial synapse between a T cell and its target cell,
potentiated T cell activation, and markedly improved anti-tumor
activity of CD3-bispecifics in a variety of xenogeneic and
syngeneic tumor models. Combining this novel class of
CD28-co-stimulatory bispecific antibodies with the emerging class
of TSAxCD3 bispecifics may provide well-tolerated, "off-the-shelf"
antibody therapies with potentially enhanced anti-tumor
efficacy.
[0181] The ability of T cells to recognize and kill their cellular
targets--such as virally-infected cells or tumor cells--depends on
a coordinated set of interactions. Foremost among these is the
recognition and binding of the target cell by the TCR complex
(which includes the associated CD3 .gamma., .delta., .epsilon.,
.zeta. chains); this interaction has been referred to as "signal 1"
for T cell activation. The TCR can recognize viral or tumor peptide
presented in the groove of an MHC proteins expressed on the surface
of the target cells. This binding is typically of low-affinity;
therefore successful triggering of signal 1 requires clustering of
many TCR complexes along the interface between a T cell and its
target cell, and this interface has been referred to as the immune
synapse (J. B. Huppa, M. M. Davis, T-cell-antigen recognition and
the immunological synapse. Nat Rev Immunol 3, 973-983 (2003)). T
cell activation and proliferation are then further promoted by
additional interactions with costimulatory receptors such as CD28
("signal 2") (J. H. Esensten, Y. A. Helou, G. Chopra, A. Weiss, J.
A. Bluestone, CD28 Costimulation: From Mechanism to Therapy.
Immunity 44, 973-988 (2016)). When a T cell recognizes a target
cell via the TCR complex, and engages signal 2 via CD28 binding to
its cognate ligand(s) (CD80/B7.1 and/or CD86/B7.2) on a
professional antigen presenting cell or the target cell, T cell
activation is enhanced. As with signal 1, CD28-mediated signal 2 is
thought to occur via coclustering at the immune synapse.
[0182] Conventional monoclonal antibodies targeted against
tumor-specific antigens (TSAs) have been used as anti-tumor
therapeutics over the last two decades (G. Salles et al., Rituximab
in B-Cell Hematologic Malignancies: A Review of 20 Years of
Clinical Experience. Adv Ther 34, 2232-2273 (2017); M. V. Mateos et
al., Daratumumab plus Bortezomib, Melphalan, and Prednisone for
Untreated Myeloma. N Engl J Med 378, 518-528 (2018): W. Eiermann,
G. International Herceptin Study, Trastuzumab combined with
chemotherapy for the treatment of HER2-positive metastatic breast
cancer: pivotal trial data. Ann Oncol 12 Suppl 1, S57-62 (2001); J.
M. Connors et al., Brentuximab Vedotin with Chemotherapy for Stage
III or IV Hodgkin's Lymphoma. N Engl J Med 378, 331-344 (2018); V.
Dieras et al., Trastuzumab emtansine versus capecitabine plus
lapatinib in patients with previously treated HER2-positive
advanced breast cancer (EMILIA): a descriptive analysis of final
overall survival results from a randomised, open-label, phase 3
trial. Lancet Oncol 18, 732-742 (2017)). However, this class of
antibodies had limited ability to induce T cell mediated
cytotoxicity, and instead acted by promoting antibody-dependent
cellular cytotoxicity (ADCC) and/or complement-dependent
cytotoxicity (CDC), or by delivering a toxin to the tumor cells.
Recently, a new class of bispecific antibodies (TSAxCD3) has
emerged that can efficiently trigger T cell-mediated killing of
tumor cells, by linking a T cell to a tumor cell and activating the
CD3/TCR complex (usually via the e chain of CD3) via a surrogate
mechanism, thus mimicking signal 1. An early version of such a
bispecific (one arm binding to CD19 on leukemia cells, while the
other binds to CD3) recently received regulatory approval for B
cell acute lymphoblastic leukemia (R. Bargou et al., Tumor
regression in cancer patients by very low doses of a T cell
engaging antibody. Science 321, 974-977 (2008); H. Kantarjian et
al., Blinatumomab versus Chemotherapy for Advanced Acute
Lymphoblastic Leukemia. N Engl J Med 376, 836-847 (2017)).
Recently, more advanced versions of bispecifics have been shown to
have good activity against non-Hodgkin's Lymphomas, targeting CD20
on these lymphomas (E. J. Smith et al., A novel, native-format
bispecific antibody triggering T-cell killing of B cells is
robustly active in mouse tumor models and cynomolgus monkeys. Sci
Rep 5, 17943 (2015); L. L. Sun et al., Anti-CD20/CD3 T
cell-dependent bispecific antibody for the treatment of B cell
malignancies. Sci Transl Med 7, 287ra270 (2015); M. Bacac et al.,
CD20-TCB with Obinutuzumab Pretreatment as Next-Generation
Treatment of Hematologic Malignancies. Clin Cancer Res 24,
4785-4797 (2018); R. Bannerji et al., Emerging Clinical Activity of
REGN1979, an Anti-CD20 x Anti-CD3 Bispecific Antibody, in Patients
with Relapsed/Refractory Follicular Lymphoma (FL), Diffuse Large
B-Cell Lymphoma (DLBCL), and Other B-Cell Non-Hodgkin Lymphoma
(B-NHL) Subtypes. American Society of Hematology, (2018); L. Budde
et al., Mosunetuzumab, a Full-Length Bispecific CD20/CD3 Antibody,
Displays Clinical Activity in Relapsed/Refractory B-Cell
Non-Hodgkin Lymphoma (NHL): Interim Safety and Efficacy Results
from a Phase 1 Study. American Society of Hematology, (2018)).
However, although TSAxCD3 bispecifics are emerging as an important
new class of immunotherapy in hematologic malignancies, cross-study
comparisons (E. A. Zhukovsky, R. J. Morse, M. V. Maus, Bispecific
antibodies and CARs: generalized immunotherapeutics harnessing T
cell redirection. Curr Opin Immunol 40, 24-35 (2016)) suggest that
in some cases they may not be achieving the level of efficacy seen
with the personalized chimeric antigen receptor T cell (CAR-T)
therapies.
[0183] One of the reasons for the strong efficacy of CAR-T
therapies is that the chimeric antigen receptor (CAR) is engineered
to provide both signal 1 (via a portion of the CD3z cytodomain) and
signal 2 (e.g., via a portion of the CD28 cytodomain) upon binding
to its target on a tumor cell. Two CAR-T cell therapies have
recently received FDA approval for B-cell malignancies, both of
which act by binding and targeting the antigen CD19 (S. S. Neelapu
et al., Axicabtagene Ciloleucel CAR T-Cell Therapy in Refractory
Large B Cell Lymphoma. N Engl J Med 377, 2531-2544 (2017); S. J.
Schuster et al., Chimeric Antigen Receptor T Cells in Refractory
B-Cell Lymphomas. N Engl J Med 377, 2545-2554 (2017)). CAR-T cell
approaches can be associated with severe adverse effects such as
cytokine release syndrome (CRS) and neurotoxicity (S. S. Neelapu et
al., Chimeric antigen receptor T-cell therapy--assessment and
management of toxicities. Nat Rev Clin Oncol 15, 47-62 (2018); J.
Gust et al., Endothelial Activation and Blood-Brain Barrier
Disruption in Neurotoxicity after Adoptive Immunotherapy with CD19
CAR-T Cells. Cancer Discov 7, 1404-1419 (2017); A.
Shimabukuro-Vornhagen et al., Cytokine release syndrome. J
Immunother Cancer 6, 56 (2018)); and due to the highly-personalized
manufacturing processes and requirement for preconditioning
chemotherapeutic regimens (S. S. Neelapu et al., Axicabtagene
Ciloleucel CAR T-Cell Therapy in Refractory Large B Cell Lymphoma.
N Engl J Med 377, 2531-2544 (2017); S. J. Schuster et al., Chimeric
Antigen Receptor T Cells in Refractory B-Cell Lymphomas. N Engl J
Med 377, 2545-2554 (2017); P. Salmikangas, N. Kinsella, P.
Chamberlain, Chimeric Antigen Receptor T-Cells (CART-Cells) for
Cancer Immunotherapy--Moving Target for Industry? Pharm Res 35, 152
(2018)), many patients are not deemed suitable candidates.
[0184] The advantages of TSAxCD3 bispecifics as relatively
well-tolerated and "off-the-shelf" therapeutic solutions for
broader patient populations would be enhanced if their anti-tumor
activity could be further optimized, especially if this could be
done without sacrificing tolerability, or perhaps even increase,
specificity for tumor cells as opposed to normal cells. Towards
this end, it was hypothesized that pairing TSAxCD3 bispecifics with
a novel class of bispecifics that independently activates signal 2
could provide potential increased efficacy as well as an
opportunity for enhanced specificity. Therefore, a second class of
bispecifics were designed. These bispecifics could either engage a
second epitope on the same tumor-specific antigen or a second
separate tumor antigen, with the co-stimulatory receptor CD28
(TSAxCD28 Bispecifics) expressed on T cells. It was reasoned that
combining TSA1xCD3 with a TSA2xCD28 should allow directed and
enhanced surrogate activation of T cells by triggering both signal
1 and signal 2, with specificity targeted only against tumor cells
expressing both epitopes or both antigens, allowing for greater
anti-tumor activity together with an opportunity for increased
specificity.
[0185] Described herein are the generation and testing of TSAxCD28
co-stimulatory bispecific antibodies targeted to ovarian cancer
(MUC16xCD28, which binds MUC16, a large integral membrane
glycoprotein expressed at high levels in ceratin cancers (H. Suh,
K. Pillai, D. L. Morris, Mucins in pancreatic cancer: biological
role, implications in carcinogenesis and applications in diagnosis
and therapy. Am J Cancer Res 7, 1372-1383 (2017)), and which is
cleaved to release the ovarian tumor biomarker CA-125 (I. Mylonas
et al., Immunohistochemical expression of the tumour marker CA-125
in normal, hyperplastic and malignant endometrial tissue.
Anticancer Res 23, 1075-1080 (2003)). Toxicology studies in
genetically-humanized immunocompetent mice as well as in cynomolgus
monkeys demonstrate that these bispecifics exhibit limited activity
and no toxicity as single agents. However, these novel
co-stimulatory bispecifics can be effectively combined with the
emerging class of TSAxCD3 bispecifics to potentiate anti-tumor
responses in both xenogenic and syngeneic tumor models.
Collectively, these data suggest that combining this novel class of
CD28-based bispecifics (TSAxCD28) with the CD3-based bispecifics
(TSAxCD3) may provide well-tolerated, "off-the-shelf" biologics
solutions with markedly enhanced and synergistic anti-tumor
activity.
Example 1. Construction of Anti-MUC16xCD28 Antibodies
Generation of Anti-CD28 Antibodies
[0186] Anti-CD28 antibodies were obtained by immunizing a
VELOCIMMUNE.RTM. mouse (i.e., an engineered mouse comprising DNA
encoding human Immunoglobulin heavy and kappa light chain variable
regions) with human CD28 protein fused to the Fc portion of mouse
IgG2a, or with cells expressing CD28, or with DNA encoding CD28.
The antibody immune response was monitored by a CD28-specific
immunoassay. When a desired immune response was achieved
splenocytes were harvested and fused with mouse myeloma cells to
preserve their viability and form hybridoma cell lines. The
hybridoma cell lines were screened and selected to identify cell
lines that produce CD28-specific antibodies. Using this technique
several anti-CD28 chimeric antibodies (i.e., antibodies possessing
human variable domains and mouse constant domains) were obtained.
In addition, several fully human anti-CD28 antibodies were isolated
directly from antigen-positive B cells without fusion to myeloma
cells, as described in US 2007/0280945A1.
[0187] Certain biological properties of the exemplary anti-CD28
antibodies generated in accordance with the methods of this Example
are described in detail in the Examples set forth below.
Generation of Anti-MUC16 Antibodies
[0188] Anti-MUC16 antibodies were obtained by immunizing a
genetically modified mouse with a human MUC16 antigen or by
immunizing an engineered mouse comprising DNA encoding human
immunoglobulin heavy and kappa light chain variable regions with a
human MUC16 antigen.
[0189] Genetically modified mice were immunized with hMUC16.nub (a
truncated format encompassing the last five SEA domains of Mucin-16
(SEQ ID: 49), or immunized with an hMUC16-expressing cell line,
such as OVCAR-3 cells. Following immunization, splenocytes were
harvested from each mouse and either (1) fused with mouse myeloma
cells to preserve their viability and form hybridoma cells and
screened for MUC16 specificity, or (2) B-cell sorted (as described
in US 2007/0280945A1) using a human MUC16 fragment as the sorting
reagent that binds and identifies reactive antibodies
(antigen-positive B cells).
[0190] Chimeric antibodies to MUC16 were initially isolated having
a human variable region and a mouse constant region. The antibodies
were characterized and selected for desirable characteristics,
including affinity, selectivity, etc. If necessary, mouse constant
regions were replaced with a desired human constant region, for
example wild-type or modified IgG1 or IgG4 constant region, to
generate a fully human anti-MUC16 antibody. While the constant
region selected may vary according to specific use, high affinity
antigen-binding and target specificity characteristics reside in
the variable region.
[0191] Certain biological properties of the exemplary anti-MUC16
antibodies generated in accordance with the methods of this Example
are described in detail in the Examples set forth below.
Generation of Bispecific Antibodies that Bind CD28 and MUC16
[0192] Bispecific antibodies comprising an anti-MUC16-specific
binding domain and an anti-CD28-specific binding domain were
constructed using standard methodologies, wherein the anti-MUC16
antigen binding domain and the anti-CD28 antigen binding domain
each comprise different, distinct HCVRs paired with a common LCVR.
In some instances the bispecific antibodies were constructed
utilizing a heavy chain from an anti-CD28 antibody, a heavy chain
from an anti-MUC16 antibody and a common light chain (See Table
5).
[0193] The bispecific antibodies created in accordance with the
present Example comprise two separate antigen-binding domains
(i.e., binding arms). The first antigen-binding domain comprises a
heavy chain variable region derived from an anti-CD28 antibody
("CD28-VH"), and the second antigen-binding domain comprises a
heavy chain variable region derived from an anti-MUC16 antibody
("MUC16-VH"). Both the anti-MUC16 and the anti-CD28 share a common
light chain. The CD28-VH/MUC16-VH pairing creates antigen-binding
domains that specifically recognize CD28 on T cells and MUC16 on
tumor cells.
Example 2. Heavy and Light Chain Variable Region Amino Acid and
Nucleic Acid Sequences
[0194] Table 1 sets forth the amino acid sequence identifiers of
the heavy and light chain variable regions and CDRs of selected
anti-MUC16 antibodies of the invention. The corresponding nucleic
acid sequence identifiers are set forth in Table 2.
TABLE-US-00001 TABLE 1 Amino Acid Sequence Identifiers of MUC 16
Antibodies Antibody SEQ ID NOs: Designation HCVR HCDR1 HCDR2 HCDR3
LCVR LCDR1 LCDR2 LCDR3 mAb8799P2 2 4 6 8 10 12 14 16 mAb8794P2 26
28 30 32 34 36 38 40
TABLE-US-00002 TABLE 2 Nucleic Acid Sequence Identifiers of MUC16
Antibodies Antibody SEQ ID NOs: Designation HCVR HCDR1 HCDR2 HCDR3
LCVR LCDR1 LCDR2 LCDR3 mAb8799P2 1 3 5 7 9 11 13 15 mAb8794P2 25 27
29 31 33 35 37 39
[0195] Table 3 sets forth the amino acid sequence identifiers of
the heavy and light chain variable regions (HCVR and LCVR), CDRs of
selected anti-CD28 antibodies of the invention. The corresponding
nucleic acid sequence identifiers are set forth in Table 4.
TABLE-US-00003 TABLE 3 Amino Acid Sequence Identifiers of CD28
Antibodies Antibody SEQ ID NOs: Designation HCVR HCDR1 HCDR2 HCDR3
LCVR LCDR1 LCDR2 LCDR3 mAb14226P2 18 20 22 24 10 12 14 16
mAb14216P2 42 44 46 48 34 36 38 40
TABLE-US-00004 TABLE 4 Nucleic Acid Sequence Identifiers of CD28
Antibody Antibody SEQ ID NOs: Designation HCVR HCDR1 HCDR2 HCDR3
LCVR LCDR1 LCDR2 LCDR3 mAb14226P2 17 19 21 23 9 11 13 15 mAb14216P2
41 43 45 47 33 35 37 39
[0196] A summary of the component parts of the various
anti-MUC16xCD3 bispecific antibodies constructed is set forth in
Table 5. Tables 6 and 7 list the HCVR, LCVR, CDRs and heavy chain
and light chain sequence identifiers of the bispecific
antibodies.
TABLE-US-00005 TABLE 5 Summary of Component Parts of Anti-MUC16
.times. Anti-CD28 Bispecific Antibodies Anti-MUC16 Anti-CD28
Antigen-Binding Antigen-Binding Bispecific Domain Domain Common
Antibody Heavy Chain Heavy Chain Light Chain Identifier Variable
Region Variable Region Variable Region bs24963D mAb8799P2
mAb14226P2 ULC3-20 bs32897D mAb8794P2 mAb14216P2 ULC1-39
[0197] Table 6 shows the amino acid sequence identifiers for the
bispecific anti-MUC16 x anti-CD28 antibodies exemplified herein.
The corresponding nucleic acid sequence identifiers are set forth
in Table 7.
TABLE-US-00006 TABLE 6 Amino Acid Sequences of Anti-MUC16 .times.
Anti-CD28 Bispecific Antibodies Bispecific Anti-CD28 Anti-MUC16
Common Antibody First Antigen-Binding Domain (D1) Second
Antigen-Binding Domain (D2) Light Chain Variable Region Identifier
HCVR HCDR1 HCDR2 HCDR3 HCVR HCDR1 HCDR2 HCDR3 LCVR LCDR1 LCDR2
LCDR3 bs24963D 18 20 22 24 2 4 6 8 10 12 14 16 bs32897D 42 44 46 48
26 28 30 32 34 36 38 40
TABLE-US-00007 TABLE 7 Nucleic Acid Sequences of Anti-MUC16 .times.
Anti-CD28 Bispecific Antibodies Bispecific Anti-CD28 Anti-MUC16
Common Antibody First Antigen-Binding Domain (D1) Second
Antigen-Binding Domain (D2) Light Chain Variable Region Identifier
HCVR HCDR1 HCDR2 HCDR3 HCVR HCDR1 HCDR2 HCDR3 LCVR LCDR1 LCDR2
LCDR3 bs24963D 17 19 21 23 1 3 5 7 9 11 13 15 bs32897D 41 43 45 47
25 27 29 31 33 35 37 39
Example 3. CD28 is a Potent Costimulatory Receptor
[0198] To determine which costimulatory receptors are effective in
providing the costimulation signal that is important to T cell
activation, a blinded screen of costimulatory pathways conducted by
forced expression of costimulatory ligands on a panel of syngeneic
tumors (Table 8 and FIG. 1) again established CD28 as one of the
most potent costimulatory receptors together with 4-1BB. Table 8
summarizes the number of tumor free mice in the blinded screen. The
assays were conducted on three different tumor cell lines which
were engineered to express seven different co-stimulatory ligands.
The number in each cell represents the number of tumor free mice
out of a total of 5 mice.
TABLE-US-00008 TABLE 8 Tumor Growth Inhibition in Engineered Cell
Lines with Introduced Co-Stimulator Ligand Co-Stim. Co-stim.
Lymphoma Carcinoma Melanoma Ligand Receptor (EL4) (MC38 (B16F10.9)
4-1BBL 4-BB 3 4 1 CD80 (B7.1) CD28 2 2 2 CD86 (B7.2) CD28 1 0 2
CD70 CD27 5 0 OX40L OX40 0 0 2 CD40 CD40L 0 1 0 ICOSL ICOS 0 0 0
Empty Vector 0 0 0 Non-transfected 0 0 Parental cells
Example 4. Surface Plasmon Resonance Derived Binding Affinities and
Kinetic Constants of Anti-MUC16xCD28 Bispecific Antibodies
[0199] In order to determine the binding kinetics of exemplary
anti-MUC16xCD28 bispecific monoclonal antibodies of the invention,
surface plasmon resonance derived binding affinities and kinetic
constants of anti-MUC16xCD28 bispecific antibodies to MUC16 and/or
CD28 were determined.
[0200] Equilibrium dissociation constants (K.sub.D values) for
hMUC16.mmh (SEQ ID NO: 51), hCD28.mmh (SEQ ID NO: 53) and mCD28.mmh
(murine CD28.mmh; SEQ ID NO: 54) binding to purified exemplary
anti-MUC16xCD28 bispecific monoclonal antibody of the invention
were determined using a real-time surface plasmon resonance
biosensor using a Biacore T-200 instrument. The CM5 Biacore sensor
surface was derivatized by amine coupling with a monoclonal mouse
anti-human Fc antibody to capture purified exemplary
anti-MUC16xCD28 bispecific antibodies of the invention. Two
exemplary bispecific antibodies were tested, bs24963D and REGN4615.
REGN4615 is an antibody/scFv which recognizes human MUC16 and
murine CD28 and is sometimes referred to as an anti-MUC16xmsCD28
antibody. The MUC16 arm in REGN4615 utilizes the VH and VK-ULC 1-39
sequences as shown above in Table 1 for mAb8794P2. The mCD28 (PV-1)
is described in US2004/0116675, with a light chain of SEQ ID NO: 11
(See also FIG. 15A in US2004/0116675) and a heavy chain of SEQ ID
NO: 13 (See FIG. 15), which was re-formatted as an scFv for the
experiments described herein.
[0201] This SPR binding study was performed in a buffer composed of
0.01M HEPES pH 7.4, 0.15M NaCl 0.05% v/v Surfactant P20 at a pH of
7.4 (HBS-ET running buffer). Different concentrations of hMUC16
with C-term myc-myc-6.times.His tag (hMUC16.mmh), hCD28 with C-term
myc-myc-6.times.His tag (hCD28.mmh), and mCD28 C-term
myc-myc-6.times.His tag (mCD28.mmh) were prepared in HBS-ET running
buffer, ranging from 3.33 nM to 90 nM (for hMuc16) or 22.2 nM to
600 nM (for hCD28 or mCD28) as serial 3-fold dilutions, for
affinity determination over anti-MUC16xCD28 bispecific and
anti-MUC16xmCD28 bispecific antibodies.
[0202] The MASS-2 high capacity amine sensor surface was first
derivatized by amine coupling with a monoclonal mouse anti-human Fc
antibody to capture approximately 500-900 RUs anti-MUC16xCD28 or
anti-MUC16xmCD28 bispecific monoclonal antibodies. 1 RU (response
unit) represents 1 .mu.g of protein per mm.sup.2, as defined by the
manufacturer. Different concentrations of hMUC16 with C-term
myc-myc-6.times.His tag (hMUC16.mmh), hCD28 with C-term
myc-myc-6.times.His tag (hCD28.mmh), and mCD28 C-term
myc-myc-6.times.His tag (mCD28.mmh) were prepared in HBS-ET running
buffer, ranging from 3.33 nM to 90 nM (for hMuc16) or 22.2 nM to
600 nM (for hCD28 or mCD28) as serial 3-fold dilutions and injected
over anti-human Fc captured anti-MUC16xCD28 or anti-MUC16xmCD28
bispecific monoclonal antibodies surfaces for 5 minute at a flow
rate of 50 .mu.L/minute. The dissociation of bound hMUC16, hCD28,
and mCD28 reagents was monitored for 10 minutes in HBS-ET running
buffer. Association (k.sub.a) and dissociation (k.sub.d) rate
constants were determined by fitting the real-time binding
sensorgrams to a 1:1 binding model with mass transport limitation
using Scrubber evaluation software version 2.0c. Binding
dissociation equilibrium constants (K.sub.D) and dissociative
half-lives (t1/2) were calculated from the kinetic rate constants
as:
K D ( M ) = kd ka , and t 1 / 2 ( min ) = ln ( 2 ) 60 * kd
##EQU00002##
[0203] Binding kinetic parameters for the exemplary bispecific
antibodies binding to purified hMUC16, hCD28, mCD28 recombinant
proteins at 37.degree. C. are shown below in Tables 9-12.
TABLE-US-00009 TABLE 9 Biacore Binding Affinities of Anti-MUC16
.times. CD28 Antibodies to hMUC16 mAB 90 nM Capture hMUC16.mmh Ka
Kd K.sub.D T1/2 AbPID (RU) Bind (RU) (1/Ms) (1/s) (M) (min)
bs24963D 987.1 .+-. 9.9 365.0 4.41E+05 4.12E-04 9.33E-10 28.0
(Experiment 1) bs24963D 211.7 .+-. 1.2 120.0 2.38E+05 2.18E-04
9.12E-10 53.1 (Experiment 2)
TABLE-US-00010 TABLE 10 Biacore Binding Affinities of Anti-MUC16
.times. CD28 Antibodies to hCD28 mAB 600 nM Capture hCD28.mmh Ka Kd
K.sub.D T1/2 AbPID (RU) Bind (RU) (1/Ms) (1/s) (M) (min) bs24963D
985.4 .+-. 2.7 88.9 3.27E+04 5.38E-03 1.65E-07 2.1
TABLE-US-00011 TABLE 11 Biacore Binding Affinities of Anti-MUC16
.times. msCD28 Antibodies to hMUC16 mAB 90 nM Capture hMUC16.mmh Ka
Kd K.sub.D T1/2 AbPID (RU) Bind (RU) (1/Ms) (1/s) (M) (min)
REGN4615 1041.0 .+-. 10.0 513.3 6.29E+05 4.72E-04 7.49E-10 24.5
TABLE-US-00012 TABLE 12 Biacore Binding Affinities of Anti-MUC16
.times. msCD28 Antibodies to mCD28 mAB 90 nM Capture hMUC16.mmh Ka
Kd K.sub.D T1/2 AbPID (RU) Bind (RU) (1/Ms) (1/s) (M) (min)
REGN4615 1021.8 .+-. 4.0 25.8 2.07E+04 7.77E-05 3.76E-09 148.6
Example 5. Binding of Anti-MUC16xCD28 Bispecific Monoclonal
Antibodies to T Cells and Target Cells
[0204] In order to determine the binding of the exemplary
bispecific antibodies of the present invention on human and
Cynomolgus T cells and target cells, flow cytometric analysis was
utilized to determine binding of MUC16xCD28 bispecific antibodies
to OVACR-3, PEO1, Negative Control Raji cells, Human and Cynomolgus
T cells, followed by detection with a phycoerythrin (PE)-labeled or
Alexa-647-labeled anti-human IgG antibody. Briefly,
1.times.10.sup.5 cells/well were incubated for 30 minutes at
4.degree. C. with a serial dilution of the exemplary MUC16xCD28
bispecific antibodies or an IgG4 isotype control that binds a human
antigen with no cross-reactivity to human or cynomolgus CD28),
ranging from 133 nM to 32.6 .mu.M for human and cynomolgus T cells,
and ranging from 133 nM to 8.14 .mu.M for Muc16 expressing cells
and negative control Raji cells. After incubation, the cells were
washed twice with cold PBS containing 1% filtered FBS and a
PE-conjugated or Alexa647-conjugated anti-human secondary antibody
was added to the MUC16 expressing cells or Human/Cyno T cells,
respectively, and incubated for an additional 30 minutes. Live/dead
dye was added to Human and Cynomolgus T cells incubations. Wells
containing no antibody or secondary only were used as a
control.
[0205] After incubation with MUC16 expressing cells, cells were
washed, re-suspended in 200 .mu.L cold PBS containing 1% filtered
FBS and analyzed by flow cytometry on a BD FACS Canto II.
[0206] After incubation with Human or Cynomolgus T cells, cells
were washed, and stained with a cocktail of anti-CD2, ant-CD16,
anti-CD4, and anti-CD8 antibodies in Brilliant Stain Buffer for an
extra 20 min incubation at 4.degree. C. After wash, cells were
re-suspended in 200 .mu.L cold PBS containing 1% filtered FBS,
gated in a Live/CD2+/CD4+/CD16- or Live/CD2+/CD8+/CD16- gate and
analyzed by Flow cytometry on a BD FACS LSR-Fortessa-X20.
[0207] The binding of the exemplary MUC16xCD28 bispecific
antibodies to the surface of Human T cells was tested by flow
cytometry. bs24963D bound to CD4.sub.+ T cells with an EC50 value
of 2.61.times.10.sup.-7M. It bound to CD8+ T cells with an
EC.sub.50 value of 2.53.times.10.sup.-7M. bs32897D bound weakly to
CD4.sub.+ T cells with an EC.sub.50 value of 9.16.times.10.sup.-6M.
It also bound weakly to CD8.sub.+ T cells, with an EC.sub.50 value
of 7.58.times.10.sup.-6M. The results were summarized in Table
13.
TABLE-US-00013 TABLE 13 Binding of the Anti-MUC16 .times. CD28 to
Human T Cells EC.sub.50 Human CD4+ EC.sub.50 Human CD8+ Antibody
PiD T cells FACS [M] T cells FACS [M] bs24963D 2.61E-07M 2.53E-07M
bs32897D 9.16E-06M 7.58E-06M Isotype Control No binding No
binding
[0208] The binding of the exemplary MUC16xCD28 bispecific
antibodies to the surface of Cynomolgus T cells was tested by flow
cytometry. The exemplary bs24963D bound to CD4.sub.+ T cells with
an EC.sub.50 value of 2.03.times.10.sup.-7M. It bound to CD8.sub.+
T cells with an EC.sub.50 value of 1.22.times.10.sup.-7M. The
exemplary bs32897D bound OVCAR-3 and PEO1 cells with EC.sub.50
values of 2.87.times..sup.-10M and 5.96.times.10.sup.-10M,
respectively. The exemplary bs24963D did not exhibit any binding to
MUC16-negative control RAJI cells. The results were summarized in
Table 14.
TABLE-US-00014 TABLE 14 Binding of the Anti-MUC16 .times. CD28 to
Cynomolgus T Cells EC.sub.50 Cynomolgus EC.sub.50 Cynomolgus CD4+ T
CD8+ T Antibody PiD cells FACS [M] cells FACS [M] bs24963D
2.03E-07M 1.22E-07M bs32897D 5.70E-06M 3.02E-06M Isotype Control No
binding No binding
[0209] The binding of the exemplary MUC16xCD28 bispecific
antibodies to the surface of cell lines expressing MUC16 was tested
by flow cytometry. bs24963D bound to OVCAR-3 and PEO1 cells with
EC.sub.50 values of 6.09.times.10.sup.-10M and
4.67.times.10.sup.-10M, respectively. bs32897D did not exhibit any
binding to MUC16-negative control RAJI cells. bs24963D bound
OVCAR-3 and PEO1 cells with EC.sub.50 values of
2.87.times.10.sup.-10M and 5.96.times.10.sup.-10M, respectively.
bs24963D did not exhibit any binding to MUC16-negative control RAJI
cells. The isotype control antibody did not exhibit any binding to
human or cynomolgus T cells, nor did it bind to cell lines
expressing MUC16. The results were summarized in Table 15.
TABLE-US-00015 TABLE 15 Binding of the Anti-MUC16 .times. CD28 to
MUC16 Expressing Cells EC.sub.50 EC.sub.50 EC.sub.50 OVCAR-3 cells
PEO1 cells Raji cells Antibody PiD FACS [M] FACS [M] FACS [M]
bs24963D 6.09E-10M 4.67E-10M No binding bs32897D 2.87E-10M
5.96E-10M No binding Isotype Control No binding No binding No
binding
Example 6. Primary Bioassay for MUC16xCD28 Bispecific
Antibodies
[0210] T-cell activation is achieved by stimulating T-cell
receptors (TCR) that recognize specific peptides presented by major
histocompatibility complex class I or II (MHCI or MHCII) proteins
on antigen-presenting cells (APC) (Goldrath et al., Selecting and
maintaining a diverse T-cell repertoire, Nature 402, 255-262
(1999)). An activated TCR in turn initiates a cascade of signaling
events, which can be monitored by reporter genes, driven by various
transcription factors such as activator-protein 1 (AP-1), Nuclear
Factor of Activated T-cells (NFAT) or Nuclear factor
kappa-light-chain-enhancer of activated B cells (NF.kappa.B). The
T-cell response is then further refined via engagement of
co-receptors expressed either constitutively or inducible on
T-cells such as CD28, CTLA-4 (Cytotoxic T-Lymphocyte-Associated
Protein 4), PD-1 (Programmed Cell Death Protein 1), LAG-3
(Lymphocyte-Activation Gene 3) or other molecules (Sharpe et al.,
The B7-CD28 Superfamily, Nat. Rev. Immunol., 2(2): 116-26 (2002)).
The co-stimulatory molecule, CD28, is activated by its endogenous
ligands CD80 or CD86 expressed on APCs. CD28 potentiates cellular
signals such as pathways controlled by the NF.kappa.B transcription
factor after TCR activation. The CD28 co-signal is important for
effective T-cell activation such as T cell differentiation,
proliferation, cytokine release and cell-death (Smeets et al.,
NF.kappa.B activation induced by T cell receptor/CD28 costimulation
is mediated by protein kinase C-.theta., PNAS, 97(7):3394-3399
(2012).
[0211] In order to identify antibodies that enhance T cell activity
in the presence of both primary stimulation and MUC16 target
expression, exemplary anti-MUC16xCD28 bispecific antibodies of the
invention were characterized in cell-based assays using human
primary T-Cells. The assays evaluate the anti-MUC16/CD28 bispecific
antibody's behavior in the presence and absence of primary
stimulation and in the presence and absence of target
expression.
IL-2 Functional Assay Using Primary Human CD4.sup.+ T-Cells:
[0212] A primary CD4.sup.+ T-cell/APC functional assay was
developed to evaluate the effect of CD28 activation on IL-2
production upon engagement with anti-MUC16 x CD28 bispecific
antibodies.
a) Human Primary CD4.sup.+ T-Cell Isolation:
[0213] Human peripheral blood mononuclear cells (PBMCs) were
isolated from a healthy donor leukocyte pack. PBMC isolation was
accomplished by density gradient centrifugation using 50 mL
SepMate.TM. tubes following the manufacturer's recommended
protocol. Briefly, 15 mL of FicollPaque PLUS was layered into 50 mL
SepMate tubes, followed by addition of 30 mL of leukocytes diluted
1:2 with D-PBS. Subsequent steps were followed according to SepMate
manufacturer's protocol. CD4.sup.+ T-cells were subsequently
isolated from PBMC's using human CD4 Microbead kits from Miltenyi
Biotec following the manufacturer's instructions. Isolated
CD4.sup.+ T-cells were frozen in FBS containing 10% DMSO at a
concentration of 5.times.10.sup.6 cells per vial.
b) IL-2 Release from Primary CD4.sup.+ T-Cells Treated with CD28
Antibodies:
[0214] In this assay, human primary CD4.sup.+ T-cells are activated
via crosslinking of CD3 molecules, in complex with T-cell receptors
(TCR), using .alpha.Muc16x.alpha.CD3 bispecific antibody (REGN4018)
incubated with human target cells, OVCAR3 or PEO-1, expressing
Muc16 on the cell surface. Binding of the Muc16 arm of REGN4018 to
target cells expressing Muc16 drives the clustering of the CD3
molecules and provides the first signal, necessary for T-cell
stimulation in absence or to an addition of an allogeneic response.
However in this assay, in order to complete T-cell activation and
increase levels of IL-2 release, co-stimulation provided by
cross-linking CD28 molecules, is necessary. Here, the bispecific
CD28 antibodies interact with CD28 on CD4.sup.+ T-cells and Muc16
on OVCAR3 or PEO-1 cells and drive the clustering-activation of
costimulatory molecule, CD28. The combined TCR and CD28 engagement
leads to enhanced IL-2 production, which is released into cell
culture media. IL-2 is detected and quantified from the cell
supernatant using a homogenous, no wash, AlphaLisa kit from
PerkinElmer.
[0215] Previously isolated and frozen human CD4.sup.+ T-cells from
Donor 104 were thawed the day of the assay in stimulation media
(X-VIVO 15 cell culture media supplemented with 10% FBS, HEPES,
NaPyr, NEAA, and 0.01 mM BME) containing 50 U/ml benzonase
nuclease. Cells were centrifuged at 1200 rpm for 10 minutes,
resuspended in stimulation media and plated into 96-well round
bottom plates at a concentration of 1.times.10.sup.5 cells/well.
OVCAR3 and PEO-1 cells were treated with Mitomycin C in primary
stimulation media using 25 g/mL of Mitomycin C for OVCAR3 and 10
g/mL for PEO-1 cells. After incubation for 1 hour at 37.degree. C.,
5% CO.sub.2, target cells were washed 3 times with washing buffer
(PBS+2% FBS) and added to the wells containing CD4.sup.+ T-cells at
a final concentration of 1.times.10.sup.4 OVCAR3 or
2.5.times.10.sup.4 PEO-1 cells per well. Subsequently, 1:4 serially
diluted CD28 bispecific or control antibodies, ranging from 3 .mu.M
to 200 nM, were added to wells in the presence of 5 nM constant of
REGN4018 (.alpha.Muc16x.alpha.(CD3) or a negative control antibody
(hIgG4 isotype control=H4sH). The final point of the 10-point
dilution contained no CD28 antibody, which is the background
signal. After plates were incubated for 72 hours at 37.degree. C.,
5% CO.sub.2, they were centrifuged to pellet the cells and 20 .mu.L
of media supernatant was collected. From this, 5 .mu.L was tested
in a human IL-2 AlphaLISA assay according to the manufacturer's
protocol. The measurements were acquired on the multi-label plate
reader Envision and raw RLU (Relative Light Units) values plotted.
All serial dilutions were tested in duplicates.
[0216] The EC.sub.50 values of the antibodies were determined by
fitting data to a four-parameter logistic equation over a 10-point
dose-response curve using GraphPad Prism.TM. software. Maximal fold
induction is calculated using following equation:
Fold induction = Highest Mean RLU value within tested dose range
Mean IL - 2 Values ( Background ) ##EQU00003##
[0217] Activation of CD4.sup.+ T-cells (as measured by IL-2
release) was enhanced by hMUC16xhCD28 in the presence of primary
stimulation (anti-MUC16xCD3) and MUC16 expressed on target
cells.
c) Result of IL-2 Functional Assay Using Primary Human CD4
T-Cells:
[0218] The ability of anti-Muc16 x anti-CD28 bispecific antibodies
to provide co-stimulation through CD28 on isolated CD4.sup.+
T-cells in the absence or presence of a TCR stimulating bispecific
antibody (REGN4018=anti-Muc16 x anti-CD3) was assessed in a
functional IL-2 release assay using isolated human CD4.sup.+
T-cells incubated with target cells expressing endogenously Muc16
(OVAR3 and PEO-1 cells) on the cell surface.
[0219] Fold induction values are summarized in Table 16 and 17 for
CD4.sup.+ T-cells co-incubated with OVCAR3 or PEO-1 cells in
addition to either 5 nM constant hIgG4 H4sH isotype control or
REGN4018 anti-Muc16 x anti-CD3.
[0220] When isolated CD4.sup.+ T-cells are incubated with OVCAR3 or
PEO-1 target cells in absence of a directed TCR stimulation via
REGN4018 using a constant amount of H4sH isotype control, detected
IL-2 amounts are similar between CD28 parental antibodies,
bispecific anti-Muc16 x anti-CD28 antibodies (bs32897D and
bs24963D) and the negative H4sH isotype control antibody. (Table
16)
[0221] In contrast, increased IL-2 levels are detected in samples
treated with anti-Muc16 x anti-CD3 (REGN4018). Under these
conditions, if human CD4.sup.+ T-cells were co-incubated with
OVCAR3 or PEO-1 cells, both CD28 bispecific antibodies increase
IL-2 levels more than their respective parental CD28 antibodies. As
expected no minimal IL-2 release is observed with the isotype
control. (Table 17)
[0222] If OVCAR3 are used as target cells, a similar dose-dependent
IL-2 release is measured for both CD28 bispecific antibodies
(bs32897D: 5.63.times. and EC.sub.50=606 pM) and bs24963D:
5.32.times. and EC.sub.50=401 pM). Whereas with PEO-1 cells, a
difference in fold induction of IL-2 levels could be observed
between both bispecific molecules. Here, bs24963D (10.94.times. and
EC.sub.50=996 pM) gives rise to higher IL-2 values than bs32897D
(5.22.times. and EC50 could not be determined, because the
dose-response curve did not reach saturation).
[0223] In absence of TCR stimulation, either through an allogeneic
response or driven by anti-MUC16xCD3, no measurable IL-2 release is
observed with CD28 antibodies in wells containing constant amounts
of isotype control in presence of OVCAR3 or PEO-1 cells (Table 16).
Table 16 summarizes the EC.sub.50 values and fold induction of IL-2
release from CD4.sup.+ T-cells co-incubated with OVCAR3 or PEO-1
and 5 nM constant isotype control.
TABLE-US-00016 TABLE 16 EC.sub.50 and fold induction results for
IL-2 release from primary human CD4.sup.+ T-cells in presence of 5
nM human IgG4 isotype control: OVCAR3 PEO-1 EC.sub.50 Fold
EC.sub.50 Fold Antibodies [M] induction [M] induction bs32897D N/C
1.06 N/C 1.12 bs24963D N/C 1.33 N/C 1.12 Parental 1 hCD28 N/C 1.10
N/C 1.30 (for bs32897D) Parental 2 hCD28 N/C 1.12 N/C 1.03 (for
bs24963D) H4sH Isotype N/C 1.12 N/C 1.48 Control Tabulated
EC.sub.50 values and maximal fold induction of IL-2 release over
background signal from CD4.sup.+ T-cells co-incubated with OVCAR3
or PEO-1 and 5 nM constant of H4sH isotype control. N/C = Not
Calculated
[0224] In contrast, measurable IL-2 levels (RLU) are detected in
samples treated with anti-MUC16xCD3. Under these conditions, if
human CD4.sup.+ T-cells were co-incubated with OVCAR3 or PEO-1
cells, both CD28 bispecific antibodies increase IL-2 levels more
than its parental CD28 antibody. As expected no IL-2 release is
observed with the isotype control (Table 17). Table 17 summarizes
the EC.sub.50 values and fold induction of IL-2 release from
CD4.sup.+ T-cells co-incubated with OVCAR3 or PEO-1 and 5 nM
constant 5 nM anti-MUC16xCD3.
TABLE-US-00017 TABLE 17 EC.sub.50 and fold induction results for
IL-2 release from primary human CD4.sup.+ T-cells in presence of 5
nM REGN4018 (anti-Muc16 .times. anti-CD3): OVCAR3 PEO-1 EC.sub.50
Fold EC.sub.50 Fold Antibodies [M] induction [M] induction bs32897D
6.07E-10 5.63 N/D 5.22 bs24963D 4.01E-10 5.32 9.96E-10 10.94
Parental 1 hCD28 N/D 1.58 N/D 1.42 (for bs32897D) Parental 2 hCD28
N/D 2.46 1.07E-10 2.05 (for bs24963D) H4sH Isotype N/C 1.09 N/C
1.11 Control Tabulated EC.sub.50 values and maximal fold induction
of IL-2 release over background signal from CD4.sup.+ T-cells
co-incubated with OVCAR3 or PEO-1 and 5 nM constant of REGN4018
(anti-Muc16 .times. anti-CD3). Abbreviations: N/D = Not Determined,
because dose-response curve did not reach saturation or showed
bell-shaping; N/C = Not Calculated
Example 7. Anti-MUC16xCD28 Bispecific Antibodies Potentiate T Cell
Activation and Cytotoxicity on Ovarian Tumor Cells in the Presence
of TCR Stimulation by Anti-MUC16xCD3
[0225] To examine if exemplary anti-MUC16xCD28 bispecific
antibodies of the invention could enhance anti-MUC16xCD3 mediated T
cell activation and cytotoxicity on ovarian tumor cells, FACS was
used to examine the viability of tumor cells and phenotype T cells
after in vitro co-culture with a dose titration of MUC16xCD3 alone
or in combination with MUC16xCD28 (FIG. 2A. Human peripheral blood
mononuclear (PBMC) cells containing T cells were co-cultured with
PEO-1 ovarian cancer cells expressing endogenous levels of MUC16
(Coscia, F. et al, Nat. Commun. (2016), August 26; 7:12645).
[0226] Two FACS based cytotoxicity studies were conducted. In the
first study, FACS based cytotoxicity was conducted on MUC16+ cells
in the presence of human peripheral blood mononuclear cells (PBMCs)
and anti-MUC16xCD3 in the presence or absence of anti-MUC16 x CD28
stimulation (FACS based cytotoxicity on MUC16 cells+human
PBMC+/-MUC16xCD28 stimulation (MUC16xCD28 x Muc16xCD3 Matrix
set-up)). The second study is otherwise identical to the first
study except that Cynomolgus PBMCs are used instead of human PBMCs
(FACS based cytotoxicity on MUC16 cells+Cynomolgus
PBMC+/-MUC16xCD28 stim (MUC16xCD28 x MUC16xCD3 Matrix set-up)).
Experimental Procedure
[0227] In order to monitor the killing of MUC16+ cells in the
presence of a combination of an anti-MUC16xCD3 antibody and an
exemplary anti-MUC16xCD28 antibody of the invention, cell lines
endogenously expressing MUC16 (PEO1, MUC16.sup.+) were labeled with
1 .mu.M of Violet Cell Tracker and plated overnight at 37.degree.
C. Separately, human PBMCs (New York Blood Center) or cynomolgus
monkey PBMCs (Covance, Cranford N.J.) were plated in supplemented
RPMI media at 1.times.10.sup.6 cells/mL and incubated overnight at
37.degree. C. in order to enrich for lymphocytes by depleting
adherent macrophages, dendritic cells, and some monocytes. The next
day, the target cells were co-incubated with adherent cell-depleted
naive human PBMC (Effector/Target cell 4:1 ratio) and a serial
dilution of either anti-MUC16xCD3 or non-targeting CD3-based
bispecific (bs17664D), alone or in combination with a fixed
concentration (2.5 .mu.g/ml) of an exemplary anti-MUC16xCD28
bispecific for 96 hours at 37.degree. C. Post incubation, the cells
were removed from the cell culture plates using Trypsin-EDTA
dissociation buffer and analyzed by Flow Cytometry (FACS).
[0228] For FACS analysis, cells were stained with a viability far
red cell tracker (Invitrogen) and directly conjugated antibodies to
CD2, CD4, CD8 and CD25 (BD). Samples were run with calibration
beads for cell counting. For the assessment of specificity of
killing, target cells were gated as Violet cell tracker positive
populations. Percent of live target cells was calculated as
follows: percentage of viable cells=(R1/R2)*100, where
R1=percentage of live target cells in the presence of antibody, and
R2=percentage of live target cells in the absence of test antibody.
T cell activation was measured by the percent of activated
(CD25.sup.+) T cells out of CD2.sup.+/CD4.sup.+ or CD2.sup.+/CD8+ T
cells. Upregulation of the PD-1 marker were assessed by incubating
cells with directly conjugated antibodies to CD2, CD4, CD8, CD25
and PD-1, and by reporting the percent of PD-1+ T cells out of
total T cells (CD2+). T cell count was measured by calculating the
number of live CD4.sup.+ or CD8.sup.+ cells per calibration bead.
The levels of cytokines accumulated in the media were analyzed
using the BD cytometric Bead Array (CBA) human Th1/Th2/Th17
Cytokine kit, following the manufacturer's protocol.
Results, Summary and Conclusions:
[0229] The anti-MUC16xCD3 bispecific antibody was tested for its
ability to induce naive human T cells to kill PEO1 target cells
expressing human MUC16 as a single agent, or in the presence of a
costimulatory MUC16xCD28 antibody. Anti-MUC16xCD3 bispecific
antibody activated and directed human T cells to deplete PEO1
cells. Moreover, MUC16xCD3 alone induced moderate T cell killing of
PEO-1 cancer cells, reducing their viability to .about.60% in a
dose dependent manner (FIG. 2B and Table 18). Target cell killing
was observed in the presence of the anti-MUC16xCD3 bispecific
antibody and PEO1 cells were killed in a dose-dependent manner with
EC.sub.50s in the picomolar (pM) level (FIG. 2B). Target cell
killing was not observed when anti-MUC16xCD3 was not present (FIG.
2B). The observed target-cell lysis was associated with
upregulation of CD25+ and PD-1.sup.+ cells on CD2+ T cells, again
with EC.sub.50s in the picomolar (pM) level (Table 18).
[0230] Anti-MUC16xCD3 induced the release of human cytokines. The
cytotoxic activity observed with anti-MUC16xCD3 as a single agent
was enhanced in the presence of exemplary anti-MUC16xCD28
costimulatory molecules of the present invention, bs24963D and
bs32897D.
[0231] It was found that addition of the exemplary anti-MUC16xCD28
of the invention increased the potency and depth of cytotoxicity
induced by MUC16xCD3 resulting in further reduction of PEO-1 cancer
cell viability to less than 20% (greater than 3-fold increase in T
cell killing) (FIG. 2B). Furthermore, exemplary anti-MUC16xCD28 of
the invention increased the levels of IFN.gamma. release induced by
MUC16xCD3 by over 10-fold (FIG. 2C). MUC16xCD28 and MUC16xCD3
combination expanded CD4 and CD8 T cells and increased the
expression level of the activation marker CD25 (FIGS. 2D-E).
Notably, MUC16xCD28 in combination with a non-targeting CD3
bispecific did not induce T cell cytotoxicity or activation (FIG.
2B).
[0232] In summary, co-stimulation increased T cell activation, PD-1
upregulation, and cytokine release when compared to what was
observed with MUC16xCD3 as a single agent. Tables 18 and 19 and
FIGS. 2A-2E) summarizes the experimental results using human
PBMCs.
TABLE-US-00018 TABLE 18 Effects of Anti-MUC16 .times. CD28 on
Cytotoxicity of Anti-MUC16 .times. CD3 to PEO1 Cells in the
Presence of Human PBMCs T Cell PD-1 PEO1 Activation Upregulation
PEO1 Kill min. % EC.sub.50[M] max % PiD EC.sub.50 [M] viability
(CD8+/CD25+) (CD4+/PD1+) MUC16 .times. CD3 1.27E-10 57% 2.94E-10
27.2% MUC16 .times. CD3 + 1.07E-10 to 9.8% 1.86E-10 to 65.7%
bs24963D 5.31E-11 3.94E-11 MUC16 .times. CD3 + 2.6E-10 to 17.7%
4.82E-10 to 58.4% bs32897D 7.40E-11 4.42E-11
[0233] The anti-MUC16xCD3 bispecific antibody was also tested for
its ability to induce naive cynomolgus T cells to kill target cells
expressing human MUC16 as a single agent, or in the presence of a
costimulatory anti-MUC16xCD28 bispecific antibody. The same assays
were performed and similar results were obtained using PBMC from
cynomolgus monkeys (FIGS. 2F-H). FIG. 2I shows that the exemplary
anti-MUC16xCD28 bispecific antibody of this invention binds to
cellular targets as measured by flow cytometry. These results
demonstrated that anti-MUC16xCD28 bispecific antibodies of the
invention can potently enhance MUC16xCD3 mediated T cell activation
not only by way of proliferation and cytokine release but also
cytotoxicity. At the selected antibody titration, the
anti-MUC16xCD3 bispecific antibody activated human T cells but did
not direct T cells to deplete PEO1 cells (Table 19). Co-stimulation
with an exemplary anti-MUC16xCD28 antibody of the invention
resulted in increased T-cell activation, an enhancement of
cytotoxic activity, and upregulation of the PD-1 marker on T cells
(Table 19).
TABLE-US-00019 TABLE 19 Effects of anti-MUC16 .times. CD28 on
Cytotoxicity of anti-MUC16 .times. CD3 to PEO1 Cells in the
Presence of Cynomolgus PBMCs T cell PD-1 PEO1 activation
upregulation PEO1 Kill min. % EC50[M] max % PiD EC.sub.50 [M]
viability (CD8+/CD25+) (CD4+/PD1+) MUC16 .times. CD3 2.09E-10 69%
1.59E-10 24.4% MUC16 .times. CD3 + 1.29E-10 to 18.1% 1.04E-10 to
44.3% bs24963D 3.34E-11 9.07E11 MUC16 .times. CD3 + 3.92E-10 to
29.7% 2.81E-10 to 40.3% bs32897D 1.09E-10 7.67E-11
Example 8. In Vivo Study of Anti-MUC16xCD28 Antibody
[0234] Combining tumor antigen targeted anti-CD3xMUC16 and
anti-CD28xMUC16 bispecific antibodies enhanced tumor clearance in a
mouse model. As shown in details below, OVCAR-3 tumor growth was
significantly inhibited in mice administered with anti-CD3xMUC16
and exemplary anti-CD28xMUC16 of the invention compared to mice
administered with anti-CD3xMUC16 alone, or control isotype.
[0235] To examine if MUC16xCD28 could enhance anti-tumor efficacy
of MUC16xCD3 in vivo, two distinct tumor models, a tumor xenogenic
ascites model and a tumor syngeneic mouse model, were used as
described in details below.
Tumor Xenogenic Ascites Model
[0236] In a tumor xenogenic ascites model, high-grade serous
carcinoma OVCAR-3 ovarian cancer cells of human origin, expressing
endogenous high levels of MUC16, are implanted intraperitoneally in
NSG mice pre-engrafted with human PBMC (Crawford A, Haber L, Kelly
M P, Vazzana K, Canova L, Ram P, Pawashe A, Finney J, Jalal S, Chiu
D, Colleton C A, Garnova E, Makonnen S, Hickey C, Krueger P,
Delfino F, Potocky T, Kuhnert J, Godin S, Retter M W, Duramad P,
MacDonald D, Olson W C, Fairhurst J, Huang T, Martin J, Lin J C,
Smith E, Thurston G, Kirshner J R. A Mucin 16 bispecific T
cell-engaging antibody for the treatment of ovarian cancer. Science
Translational Medicine 19 Jun. 2019: Vol 11, Issue 497, eaau7534).
OVCAR-3 cells were engineered with luciferase reporter to track
tumor growth over time using in vivo bioluminescence (BLI)
Experimental Procedure
[0237] Experiments were performed as described in (Crawford A,
Haber L, Kelly M P, Vazzana K, Canova L, Ram P, Pawashe A, Finney
J, Jalal S, Chiu D, Colleton C A, Garnova E, Makonnen S, Hickey C,
Krueger P, Delfino F, Potocky T, Kuhnert J, Godin S, Retter M W,
Duramad P, MacDonald D, Olson W C, Fairhurst J, Huang T, Martin J,
Lin J C, Smith E, Thurston G, Kirshner J R. A Mucin 16 bispecific T
cell-engaging antibody for the treatment of ovarian cancer. Science
Translational Medicine 19 Jun. 2019: Vol 11, Issue 497, eaau7534).
Briefly, mice were injected IP with 150 mg/kg of the luciferase
substrate D-luciferin (Perkin Elmer), suspended in PBS. Ten minutes
later, BLI imaging of the mice was performed under isoflurane
anesthesia using the Xenogen IVIS system (Perkin Elmer). Image
acquisition was carried out with the field of view at D, subject
height of 1.5 cm, and medium binning level for 0.5-min exposure
time. BLI signals were extracted using Living Image software
(Xenogen; Alameda, Calif.). Regions of interest were drawn around
each tumor mass and photon intensities were recorded as
p/s/cm.sup.2/sr (photons per second per square centimeter per
steradian). Mice that did not receive OVCAR-3/Luc cells served as a
baseline reading for BLI activity. These baseline mice (N=3) with
no tumors were imaged on each day and the lower limit of detection
(LOD) was calculated as the average BLI reading across all imaged
tumor free mice.
[0238] Eight to ten (8-10)-week-old NSG (NOD SCID gamma chain
knock-out) mice (Jackson Laboratory, MD) were injected with
5.times.10.sup.6 human PBMCs (ReachBio, Seattle, Wash.). Ten to
fourteen (10-14) days later, mice were bled via the tail vein to
determine human T cell engraftment. Within two weeks of PBMCs being
transferred, 2.times.10.sup.6 ascites cells from the OVCAR-3/Luc
cell line, previously passaged in vivo, were administered
intraperitoneally (IP) within two weeks (Day 0). Mice were checked
for T cell engraftment by flow cytometry then assigned to groups
using BLI to ensure similar tumor burden. Four days post tumor
implantation, mice were divided into groups of 5 animals each with
a median BLI of 1.49.times.10.sup.5 or 3.03.times.10.sup.5
p/s/cm.sup.2/sr for the two studies. Mice were treated with the
indicated bispecific or control antibodies on day 5 and 8. Mice
were administered anti-MUC16xCD3 or a CD3-binding control with or
without exemplary anti-MUC16xCD28 (bs24963D) of the invention twice
via intravenous (IV) injection. Imaging occurred multiple times
throughout the study to track tumor growth.
[0239] Serum cytokine levels from blood were also obtained at the
indicated time point. At the indicated time points, blood was
collected by submandibular puncture into microtainer serum tubes
(BD 365967). Cytokine levels were analyzed using V-plex Human
ProInflammatory-10 Plex kit following the manufacturer's
instructions (Meso Scale Diagnostics, Rockville, Mass.).
[0240] All procedures were carried out in accordance with the Guide
for the Care and Use of Laboratory Animals of the NIH. The protocol
was approved by the Regeneron Pharmaceuticals Institutional Animal
Care and Use Committee. A total of 2 studies with 5 mice per group
were completed.
Results, Summary and Conclusions
[0241] For xenogenic tumor studies, two models were used. For the
first xenogenic model, NSG mice were injected intraperitoneally
(IP) with OVCAR-3/Luc cells previously passaged in vivo (Day 0)
thirteen days after engraftment with human PBMCs. Mice were treated
IV on Days 5 and 8. Mice received either 12.5 .mu.g anti-MUC16xCD3
or 12.5 .mu.g CD3-binding control (hIgG4.sup.P-PVA isotype). Some
of the mice were also administered the exemplary anti-MUC16xCD28 of
the invention (bs24963D) at 100 .mu.g. Tumor burden was assessed by
BLI on Days 4, 8, 12, 15, 20 and 25 post tumor implantation.
Reduced BLI-evident tumors were not observed when the exemplary
bs24963D was administered without anti-MUC16xCD3. In contrast,
while treatment with 12.5 .mu.g anti-MUC16xCD3 significantly
reduced BLI-evident tumors, the exemplary anti-MUC16xCD28 of the
invention significantly enhanced the efficacy over anti-MUC16xCD3
alone (Tables 20-22).
[0242] Table 20 summarizes the level of bioluminescence on day 4
post tumor implantation in the first OVCAR-3/Luc xenogenic
model.
TABLE-US-00020 TABLE 20 OVCAR-3/Luc Model. Level of Bioluminescence
on Day 4 Post Tumor Implantation Avg Radiance [p/s/cm2.sup.2/sr] 4
Days Antibody (.mu.g) Post-Implantation (median .+-. SEM)
CD3-binding control (12.5) 1.51 .times. 10.sup.5 .+-. 2.81 .times.
10.sup.4 Anti-MUC16 .times. CD3 (12.5) 1.5 .times. 10.sup.5 .+-.
1.05 .times. 10.sup.4 CD3-binding control (12.5) + 1.53 .times.
10.sup.5 .+-. 2.01 .times. 10.sup.4 anti-MUC16 .times. CD28 (100)
Anti-MUC16 .times. CD3 (12.5) + 1.27 .times. 10.sup.5 .+-. 2.29
.times. 10.sup.4 anti-MUC16 .times. CD28 (100)
[0243] Table 21 summarizes the level of bioluminescence on day 25
post tumor implantation in the first OVCAR-3/Luc xenogenic
model.
TABLE-US-00021 TABLE 21 OVCAR-3/Luc Model. Level of Bioluminescence
on Day 25 Post Tumor Implantation Avg Radiance [p/s/cm2.sup.2/sr]
25 Days Antibody (.mu.g) Post-Implantation (median .+-. SEM)
CD3-binding control (12.5) 7.71 .times. 10.sup.6 .+-. 1.07 .times.
10.sup.6 Anti-MUC16 .times. CD3 (12.5) 7.44 .times. 10.sup.3 .+-.
3.11 .times. 10.sup.3 CD3-binding control (12.5) + 6.04 .times.
10.sup.6 .+-. 8.32 .times. 10.sup.5 anti-MUC16 .times. CD28 (100)
Anti-MUC16 .times. CD3 (12.5) + 1.31 .times. 10.sup.3 .+-. 3.05
.times. 10.sup.1 anti-MUC16 .times. CD28 (100)
[0244] Table 22 summarizes the fold change in BLI between Day 4 and
Day 25 post tumor implantation in the first OVCAR-3/Luc xenogenic
model.
TABLE-US-00022 TABLE 22 OVCAR-3/Luc Model. Fold Change in BLI
between Day 4 and Day 25 Post Tumor Implantation Fold Change in Avg
Radiance [p/s/cm2.sup.2/sr] from Day 4 to Antibody (.mu.g) D25
Post-Implantation (mean .+-. SD) CD3-binding control (12.5) 50.72
.+-. 29.67 Anti-MUC16 .times. CD3 (12.5) -0.94 .+-. 0.05
CD3-binding control (12.5) + 35.38 .+-. 8.18 anti-MUC16 .times.
CD28 (100) Anti-MUC16 .times. CD3 (12.5) + -0.99 .+-. 0.00
anti-MUC16 .times. CD28 (100)
[0245] For the second xenogenic model, NSG mice were injected with
OVCAR-3/Luc cells previously passaged in vivo (Day 0) ten days
after engraftment with human PBMCs. Mice were treated IV with 0.5
mg/kg anti-MUC16xCD3 or administered 0.5 mg/kg CD3-binding control
on Days 5 and 8. Tumor burden was assessed by BLI on Days 4, 8, 11,
14, 21, 28 and 34. Some of the mice were also administered the
exemplary anti-MUC16xCD28 of the invention (bs24963D) at 0.2 mg/kg,
1 mg/kg, or 5 mg/kg. The exemplary bs24963D did not decrease tumor
burden when administered without anti-MUC16xCD3. In contrast, while
treatment with 0.5 mg/kg anti-MUC16xCD3 significantly reduced
BLI-evident tumors, the exemplary anti-MUC16xCD28 enhanced the
efficacy over anti-MUC16xCD3 alone (Tables 23-25 and FIG. 4A).
[0246] Table 23 summarizes the level of bioluminescence on day 4
post tumor implantation in the second OVCAR-3/Luc xenogenic
model.
TABLE-US-00023 TABLE 23 OVCAR-3/Luc Model. Level of Bioluminescence
on Day 4 Post Tumor Implantation Avg Radiance [p/s/cm2.sup.2/sr] 4
Days post-implantation Antibody (mg/kg) (median .+-. SEM)
CD3-binding control (0.5) 3.65 .times. 10.sup.5 .+-. 5.50 .times.
10.sup.4 Anti-MUC16 .times. CD3 (0.5) 3.76 .times. 10.sup.5 .+-.
2.40 .times. 10.sup.4 CD3-binding control (0.5) + 2.71 .times.
10.sup.5 .+-. 2.65 .times. 10.sup.4 anti-MUC16 .times. CD28 (5)
Anti-MUC16 .times. CD3 (0.5) + 3.18 .times. 10.sup.5 .+-. 4.45
.times. 10.sup.4 anti-MUC16 .times. CD28 (5) Anti-MUC16 .times. CD3
(0.5) + 3.07 .times. 10.sup.5 .+-. 4.37 .times. 10.sup.4 anti-MUC16
.times. CD28 (1) Anti-MUC16 .times. CD3 (0.5) + 2.86 .times.
10.sup.5 .+-. 4.95 .times. 10.sup.4 anti-MUC16 .times. CD28
(0.2)
[0247] Table 24 summarizes the level of bioluminescence on day 25
post tumor implantation in the second OVCAR-3/Luc xenogenic
model
TABLE-US-00024 TABLE 24 OVCAR-3/Luc Model. Level of Bioluminescence
on Day 34 Post Tumor Implantation Avg Radiance [p/s/cm2.sup.2/sr]
34 days post-implantation Antibody (mg/kg) (median .+-. SEM)
CD3-binding control (0.5) 1.79 .times. 10.sup.7 .+-. 2.17 .times.
10.sup.6 Anti-MUC16 .times. CD3 (0.5) 9.60 .times. 10.sup.4 .+-.
4.55 .times. 10.sup.4 Anti-MUC16 .times. CD3 (0.5) + 2.34 .times.
10.sup.7 .+-. 1.12 .times. 10.sup.6 anti-MUC16 .times. CD28 (5)
Anti-MUC16 .times. CD3 (0.5) + 2.45 .times. 10.sup.3 .+-. 4.49
.times. 10.sup.3 anti-MUC16 .times. CD28 (5) Anti-MUC16 .times. CD3
(0.5) + 1.62 .times. 10.sup.3 .+-. 2.32 .times. 10.sup.3 anti-MUC16
.times. CD28 (1) Anti-MUC16 .times. CD3 (0.5) + 1.29 .times.
10.sup.3 .+-. 4.77 .times. 10.sup.1 anti-MUC16 .times. CD28
(0.2)
[0248] Table 25 summarizes the fold change in BLI between Day 4 and
Day 34 post tumor implantation in the second OVCAR-3/Luc xenogenic
model.
TABLE-US-00025 TABLE 25 OVCAR-3/Luc Model. Fold Change in BLI
between Day 4 and Day 34 Post Tumor Implantation Fold change in Avg
Radiance [p/s/cm2.sup.2/sr] from Day 4 to D34 Antibody (mg/kg)
Post-Implantation (mean .+-. SD) CD3-binding control (0.5) 51.35
.+-. 27.59 Anti-MUC16 .times. CD3 (0.5) -0.64 .+-. 0.31 Anti-MUC16
.times. CD3 (0.5) + 64.62 .+-. 36.38 anti-MUC16 .times. CD28 (5)
Anti-MUC16 .times. CD3 (0.5) + -0.97 .+-. 0.04 anti-MUC16 .times.
CD28 (5) Anti-MUC16 .times. CD3 (0.5) + -0.99 .+-. 0.02 anti-MUC16
.times. CD28 (1) Anti-MUC16 .times. CD3 (0.5) + -1.00 .+-. 0.00
anti-MUC16 .times. CD28 (0.2)
[0249] Other results of the second xenogenic model using different
dosages are shown in FIG. 3A. Mice treated with MUC16xCD3 at 2.5
.mu.g on day 5 and 8 post tumor implant had significantly reduced
tumor burden compared to mice treated with a CD3-binding control
antibody (EGFRvIIIxCD3) but did not completely clear OVCAR-3/Luc
tumor cells (FIG. 3A). Combining MUC16xCD3 at 2.5 .mu.g with
MUC16xCD28 at 100 .mu.g further inhibited tumor growth with more
durable rejection of tumor cells over time (FIG. 3A). In the same
experiment, the serum cytokine levels were also obtained. FIG. 3B
shows the cytokine levels (pg/ml) in mice treated with different
antibodies and/or antibodies combinations. FIG. 3C shows tumor
burden and correlation to CA-125 levels in serum on day 26.
[0250] To test the ability of CD28- and CD3-bispecifics to promote
tumor killing in vivo, the well-established xenogenic
intraperitoneal ovarian OVCAR-3 tumor model was used. In this
model, tumor cells are introduced into immunodeficient mice that
are reconstituted with human PBMCs. Like other ovarian cancer cell
lines, the OVCAR-3 cells express MUC16. Prior to implantation the
OVCAR-3 cells were engineered with a luciferase reporter to allow
in vivo tracking of tumor growth over time using bioluminescence
(BLI). Implanted OVCAR-3 tumors grew unabated in mice treated with
EGFRvIIIxCD3 bispecific, a control CD3-bispecific that did not bind
to these cells, and in mice treated only with the MUC16xCD28
bispecific (FIG. 3A). Although the MUC16xCD3 bispecific alone
demonstrated significant anti-tumor activity it did not completely
clear the OVCAR-3 tumors (FIG. 3A) whereas the addition of the
MUC16xCD28 bispecific to the MUC16xCD3 bispecific enhanced the in
vivo anti-tumor effect (FIG. 3A) over MUC16xCD3 alone. Consistent
with enhanced anti-tumor activity, the combination of both
bispecifics also increased the secretion of circulating cytokines
(FIG. 3B).
[0251] The MUC16-bispecifics bind to the remaining "nub" of MUC16
(the cell surface remnant after cleavage and release of CA-125) on
the ovarian cancer cell surface after proteolytic cleavage has
released the prognostic ovarian cancer biomarker CA-125 (I. Mylonas
et al., Immunohistochemical expression of the tumour marker CA-125
in normal, hyperplastic and malignant endometrial tissue.
Anticancer Res 23, 1075-1080 (2003)), but does not bind soluble
CA-125 (FIGS. 9A and 9B). To determine whether the MUC16xCD28
bispecific perturbed the ability to use CA-125 as a biomarker for
ovarian tumor burden, CA-125 levels in the mice were measured.
CA-125 levels correlated with tumor burden regardless of treatment.
The lowest CA-125 levels were seen in the mice treated with the
combination of bispecifics (FIG. 3C) as previously demonstrated for
MUC16xCD3 bispecific.
Syngeneic Mouse Model
Experimental Procedure
[0252] Syngeneic studies were carried out in mice genetically
modified to express human CD3 and a portion of human MUC16 for the
MC38 studies using VelociGene@ technology, as described previously
(Valenzuela et al., (2003) Nat. Biotechnol. June; 21(6):652-9),
(Crawford A, Haber L, Kelly M P, Vazzana K, Canova L, Ram P,
Pawashe A, Finney J, Jalal S, Chiu D, Colleton C A, Garnova E,
Makonnen S, Hickey C, Krueger P, Delfino F, Potocky T, Kuhnert J,
Godin S, Retter M W, Duramad P, MacDonald D, Olson W C, Fairhurst
J, Huang T, Martin J, Lin J C, Smith E, Thurston G, Kirshner J R. A
Mucin 16 bispecific T cell-engaging antibody for the treatment of
ovarian cancer. Science Translational Medicine 19 Jun. 2019: Vol
11, Issue 497, eaau7534). Mice expressing human CD3, human CD28 and
a portion of human MUC16 were used for the ID8-VEGF studies. For
the humanization of CD3, a targeting vector was engineered that
replaced the extracellular portions of the mouse CD3 genes
(.gamma..delta..epsilon.) with the corresponding human region of
the genes. For the humanization of CD28, a targeting vector was
engineered that replaced the extracellular portions of the mouse
CD28 gene with the corresponding human region of the gene. For
MUC16, the SEA repeats 13-17 of the mouse was replaced with the
human SEA repeats 12-16. For each humanized mouse, correct gene
targeting in F1H4 (C57BL/6.times.129 hybrid) embryonic stem (ES)
cell clones was identified by a loss of allele assay as described
previously (Poueymirou et al (2007), Nat. Biotechnol. January;
25(1):91-9). Targeted ES cells were injected into 8-cell stage
Swiss Webster embryos to produce fully F0 generation heterozygous
mice for breeding with C57BL/6N mice (Taconic, Rensselaer, N.Y.) to
homozygosity. Mice expressing the human extracellular portion of
CD3 (.gamma..delta..epsilon.), the human extracellular portion of
CD28, and a portion of human MUC16 were then bred to homozygosity
(referred to as hCD3/hMuc16 or hCD3/hCD28/hMUC16 humanized
mice).
[0253] To examine efficacy in an immune-competent model, a knock-in
mouse was generated. The T cells of this mouse express human CD3
and in place of murine MUC16, a chimeric molecule is expressed that
contains a portion of human MUC16 where the exemplary bispecific
antibody of the invention binds. Accordingly, the anti-MUC16xCD3
molecule can be used in this study. To investigate whether addition
of a targeting CD28 bispecific molecule can enhance efficacy in
these mice, a surrogate bispecific antibody was also generated. The
surrogate antibody recognized human MUC16 but murine CD28 to
examine the effects of CD28 costimulation and is sometimes referred
to as anti-MUC16xmCD28. For the syngeneic tumor model, the MC38
cell line engineered to express a portion of human MUC16 was used.
Mice were implanted with the MC38/huMUC16 cells subcutaneously (SC)
and treated with 0.01 mg/kg of anti-MUC16xCD3 on day of
implantation, twice per week until day 21. Treatment with 0.01
mg/kg anti-MUC16xCD3 resulted in significant anti-tumor efficacy
and addition of MUC16xmCD28 enhanced this effect. (See FIGS. 6A,
6B, 6C and 6D).
Implantation and Measurement of Syngeneic Tumors
[0254] Mice expressing human CD3 and a human-murine chimera of
MUC16 in the corresponding mouse loci were implanted with
1.times.10.sup.6 MC38/huMUC16 cells subcutaneously. Mice were
administered anti-MUC16xCD3 or a isotype control intraperitoneally
(IP) with or without a surrogate bispecific antibody recognizing
human MUC16 and mouse CD28, twice per week throughout study until
day 21. Treatment began on the day of implantation. Tumor growth
was measured with calipers twice per week. Mice were sacrificed 50
days after tumor implantation.
Calculation of Syngeneic Tumor Growth and Inhibition
[0255] In order to determine tumor volume by external caliper, the
greatest longitudinal diameter (length) and the greatest transverse
diameter (width) were determined. Tumor volume based on caliper
measurements were calculated by the formula:
Volume=(length.times.width.sup.2)/2. Tumor growth was monitored
over time using caliper measurements of X and Y diameter. Mice were
euthanized when tumor size was greater than 2000 mm.sup.3.
Statistical significance was determined using an unpaired
nonparametric Mann-Whitney t-test.
Results
[0256] The tumor sizes in MC38/huMUC16 model under different
treatments were summarized in Table 26.
TABLE-US-00026 TABLE 26 MC38/huMUC16 Model. Tumor Size (mm.sup.3)
at Day 21 Antibody (.mu.g) Tumor Size (mm.sup.3) (mean .+-. SEM)
Isotype control (0.5) 1191 .+-. 424 Anti-MUC16 .times. CD3 (0.01)
639.5 .+-. 186.8 Anti-MUC16 .times. mCD28 (0.5) 648.5 .+-. 129.7
Anti-MUC16 .times. CD3 (0.01) + 167.3 .+-. 71.9 anti-MUC16 .times.
mCD28 (0.5)
It was tested if exemplary anti-MUC16xCD28 bispecific antibodies of
the invention could enhance anti-tumor efficacy of MUC16xCD3 in a
syngeneic mouse model in mice with a fully intact immune system.
Mice were genetically engineered to express human CD3 and human
MUC16 in place of the mouse genes using Velocigene technology
(Crawford A, Haber L, Kelly M P, Vazzana K, Canova L, Ram P,
Pawashe A, Finney J, Jalal S, Chiu D, Colleton C A, Garnova E,
Makonnen S, Hickey C, Krueger P, Delfino F, Potocky T, Kuhnert J,
Godin S, Retter M W, Duramad P, MacDonald D, Olson W C, Fairhurst
J, Huang T, Martin J, Lin J C, Smith E, Thurston G, Kirshner J R. A
Mucin 16 bispecific T cell-engaging antibody for the treatment of
ovarian cancer. Science Translational Medicine 19 Jun. 2019: Vol
11, Issue 497, eaau7534). MC38 colon carcinoma cell line was
engineered to express human MUC16 (pLVX.EF1a.MUC16, MC38/hMUC16)
and implanted subcutaneously. Mice were dosed by intraperitoneal
injection 2.times. per week starting on the day of implant (day 0)
with isotype control (Iso Ctrl), 0.01 mg/kg of MUC16xCD3, 0.5 mg/kg
of MUC16xmCD28 or combination. Tumor growth was monitored over time
(FIG. 6A). MUC16xCD3 or MUC16xCD28 monotherapy significantly
inhibited tumor growth. Tumor growth was further significantly
inhibited by MUC16xCD3 and MUC16xCD28 combination treatment (Table
26). In the same experiment, the serum cytokine levels were also
obtained. FIG. 6B shows the cytokine levels in mice treated with
different antibodies and/or antibodies combinations.
[0257] Appropriate humanized mice MC38/hMUC16 received implanted
tumor cells, and were treated with control, the individual CD3- or
CD28-bispecifics, or the combinations (FIGS. 6A, 6C, and 6D). In
the MUC16 tumor model, the combination of CD3- and CD28-bispecifics
provided the best anti-tumor responses (FIG. 6A), as was also noted
in assays of cytokine production (FIGS. 6C and 6D).
[0258] To investigate whether addition of a targeting of the
MUC16xCD28 lead can enhance efficacy in a syngeneic model, mice
expressing human CD3 and in place of murine MUC16, human CD28 in
place of murine CD28 and a chimeric molecule that contains a
portion of human MUC16 where the exemplary bispecific antibody of
the invention binds were used. The ID8-VEGF cell line was
engineered to express human MUC16 (ID8-VEGF/hMUC16) and implanted
intra-peritoneally. Mice were dosed on days 3, 6, and 10 after
tumor implantation with 1 mg/kg EGFRvIIIxCD3 or MUC16xCD3 alone or
in combination with MUC16xCD28. Tumor growth was monitored using
weight gain (FIG. 5). Tumor growth was inhibited by MUC16xCD3 and
the combination with MUC16xCD28 further delayed tumor growth.
[0259] Notably, unlike the previous in vitro and in vivo analyses
in which the CD28-bispecifics had very limited single-agent
activity (see above), the CD28-bispecifics in this syngeneic
MC38/MUC16 model had more notable activity as single agents. This
suggested that "signal 1" was already being activated to some
degree in these MC38 models. Consistent with this, it has been
previously shown that MC38 tumor cells express high levels of
re-activated endogenous retroviral proteins such as p15E, and that
C57BL6 mice can generate endogenous T cells that recognize and
respond to this neo-epitope (J. C. Yang, D. Perry-Lalley, The
envelope protein of an endogenous murine retrovirus is a
tumor-associated T-cell antigen for multiple murine tumors. J
Immunother 23, 177-183 (2000); H. J. Zeh, 3rd, D. Perry-Lalley, M.
E. Dudley, S. A. Rosenberg, J. C. Yang, High avidity CTLs for two
self-antigens demonstrate superior in vitro and in vivo antitumor
efficacy. J Immunol 162, 989-994 (1999)). Indeed, it was confirmed
that in the MC38 models of this invention, intratrumoral T cells
responsive to this p15E neo-antigen could easily be detected (data
not shown). Thus, CD28-bispecifics in this MUC16 syngeneic tumor
model can boost endogenous TCR/CD3-dependent T cell responses,
which can then further be enhanced by providing additional "signal
1" activation via a CD3-bispecific.
[0260] It has long been appreciated that T cell activation via the
TCR complex ("signal 1") can be markedly enhanced by co-stimulatory
signals such as those mediated when the CD28 receptor on T cells
engages its ligands (CD80/B7.1 and CD86/B7.2) on target cells
("signal 2") (J. H. Esensten, Y. A. Helou, G. Chopra, A. Weiss, J.
A. Bluestone, CD28 Costimulation: From Mechanism to Therapy.
Immunity 44, 973-988 (2016)). In agreement with our data, the
potential for CD28-costimulation to enhance the anti-tumor activity
of T cells was first demonstrated by studies in which B7 ligands
were over-expressed on tumor cells (R. H. Schwartz, Costimulation
of T lymphocytes: the role of CD28, CTLA-4, and B7/BB1 in
interleukin-2 production and immunotherapy. Cell 71, 1065-1068
(1992); L. Chen et al., Costimulation of antitumor immunity by the
B7 counterreceptor for the T lymphocyte molecules CD28 and CTLA-4.
Cell 71, 1093-1102 (1992)), which showed improved T cell rejection
of such B7-expressing tumors. This potential inspired efforts to
evaluate CD28-activating antibodies in human trials. Tragically,
the 2006 trial of such an antibody (TGN1412) resulted in
life-threatening complications in all six human volunteers (G.
Suntharalingam et al., Cytokine storm in a phase 1 trial of the
anti-CD28 monoclonal antibody TGN1412. N Engl J Med 355, 1018-1028
(2006)), due to multi-organ failure resulting from massive cytokine
release syndrome (CRS). This catastrophe led to cessation of any
further testing of CD28-activating antibodies in humans.
[0261] CD28-bispecific antibodies which would not directly activate
CD28, unless clustered on tumor cell surfaces, offered the
possibility of promoting co-stimulation only at the tumor site,
without the systemic toxicity of conventional CD28-activating
antibodies. Initial versions of such CD28-bispecifics were proposed
and evaluated in the 1990's (C. Renner et al., Cure of xenografted
human tumors by bispecific monoclonal antibodies and human T cells.
Science 264, 833-835 (1994); G. Jung et al., Local immunotherapy of
glioma patients with a combination of 2 bispecific antibody
fragments and resting autologous lymphocytes: evidence for in situ
t-cell activation and therapeutic efficacy. Int J Cancer 91,
225-230 (2001); M. Brandl, L. Grosse-Hovest, E. Holler, H. J. Kolb,
G. Jung, Bispecific antibody fragments with CD20 X CD28 specificity
allow effective autologous and allogeneic T-cell activation against
malignant cells in peripheral blood and bone marrow cultures from
patients with B-cell lineage leukemia and lymphoma. Exp Hematol 27,
1264-1270 (1999)); however, the early technology available at the
time required chemical cross-linking or hybrid/hybridoma fusions to
create the proposed biotherapeutics, and resulted in suboptimal
reagents which had profound activity on their own independent of
their clustering on tumor cells (reminiscent of conventional
CD28-antibodies, presumably due to non-specific aggregation of
these bispecifics). Moreover, these early approaches also required
pre-activation of T cells in vitro, in order to observe any
antitumor activity in vivo. Together, the catastrophic clinical
results with the TGN1412 CD28-activating antibody, as well as the
limitations of these early CD28-bispecific approaches, dissuaded
further exploration of these approaches.
[0262] Described herein is a novel class of CD28 costimulatory
bispecific antibodies that can markedly and safely promote
anti-tumor activity by providing a co-stimulatory "signal 2". These
CD28-bispecifics have limited activity on their own (in the absence
of "signal 1"), but can markedly enhance anti-tumor activity in the
setting of "signal 1", as can be provided by pairing these
CD28-bispecifics with the emerging class of CD3-bispecifics (or if
these CD28-bispecifics are used in settings where there are already
endogenous populations of tumor-specific T cells). The generation,
testing and success of this new CD28-bispecific approach was
dependent on (1) the utilization of a novel bispecific platform
that was initially developed to produce CD3-bispecifics and which
was recently validated both technologically (E. J. Smith et al., A
novel, native-format bispecific antibody triggering T-cell killing
of B cells is robustly active in mouse tumor models and cynomolgus
monkeys. Sci Rep 5, 17943 (2015)) and clinically (A. Crawford et
al., REGN4018, a novel MUC16xCD3 bispecific T-cell engager for the
treatment of ovarian cancer. Proceedings of the American
Association for Cancer Research Annual Meeting 2018, (2018))
(Clinicaltrials.gov: NCT02290951, Clinicaltrials.gov: NCT03564340)
for these CD3-bispecifics, and which was then adapted so as to
efficiently produce CD28-bispecifics that display minimal activity
in the absence of a specific "signal 1"; (2) the development of
multiple xenogenic and syngeneic genetically-humanized (D. M.
Valenzuela et al., High-throughput engineering of the mouse genome
coupled with high-resolution expression analysis. Nat Biotechnol
21, 652-659 (2003); W. T. Poueymirou et al., F0 generation mice
fully derived from gene-targeted embryonic stem cells allowing
immediate phenotypic analyses. Nat Biotechnol 25, 91-99 (2007))
animal tumor models to assess these CD28-bispecifics on their own
and in combination with CD3-bispecifics; and (3) together with a
much deeper knowledge of the cytokine release syndrome and its
clinical development (A. Shimabukuro-Vornhagen et al., Cytokine
release syndrome. J Immunother Cancer 6, 56 (2018); D. W. Lee et
al., Current concepts in the diagnosis and management of cytokine
release syndrome. Blood 124, 188-195 (2014); C. L. Bonifant, H. J.
Jackson, R. J. Brentjens, K. J. Curran, Toxicity and management in
CAR T-cell therapy. Mol Ther Oncolytics 3, 16011 (2016)) the
validation of a monkey model in which any potential toxicity of
these CD28-bispecifics could be compared to that of conventional
CD28-activating antibodies.
[0263] Described herein are the generation and testing of TSAxCD28
co-stimulatory bispecific antibodies targeted against a TSAs for
ovarian cancer (MUC16xCD28). It was shown showed that, in the
absence of "signal 1", these CD28-bispecifics have minimal
activity, in vitro or in vivo. However, these CD28-bispecifics can
be paired with CD3-bispecifics to form artificial "immune synapses"
containing the tumor antigens as well as the TCR and CD28
complexes. Moreover, when paired with appropriate CD3-bispecifics
in vitro, these CD28-bispecifics can efficiently and specifically
promote T cell activation and tumor cell killing in an
antigen-dependent manner. Furthermore, these CD28-bispecifics also
efficiently enhance the anti-tumor activity of CD3-bispecifics in
vivo, in a tumor antigen-specific manner, in xenogenic and
syngeneic tumor models; in such models, the CD28-bispecifics have
minimal single-agent activity unless tumor-specific T cells are
already present, and in such settings they appear to enhance this
specific activity in a tumor-antigen-dependent manner. In addition,
TSAxCD28 and TSAxCD3 combination therapy significantly drives
expansion of an intratumoral activated/memory T cell phenotype in
vivo. Finally, toxicology studies in genetically-humanized
immunocompetent mice, as well as in cynomolgus monkeys, demonstrate
that these bispecifics exhibit limited activity and no toxicity as
single agents, as directly compared to conventional CD28-activating
antibodies.
[0264] Often, the characterization of human-specific clinical
candidates in the field of immunooncology is limited to testing in
xenogenic tumor models with engrafted human immune cells. Although
these xenogenic models (such as the OVCAR3 model utilized) can be
very useful, they have limitations. The mice used in such xenogenic
models do not express the human tumor target in their normal
tissues, thereby precluding assessment of the test agent in the
setting of normal tissue expression of the target. Indeed, if a
target is normally also expressed at high levels in normal tissues,
this could limit anti-tumor efficacy by diverting the test agent
from the tumor, and could result in toxicity on these normal
tissues--none of this could be assessed in a xenogenic model. An
additional limitation could involve the activity of the engrafted
human peripheral blood mononuclear cells (PBMCs) transferred to an
immunodeficient mouse, which could differ from that of normal host
T cells found in a immune-competent system. To overcome these
limitations and provide better models for testing human-specific
clinical candidates, created double and triple
genetically-humanized mice were created. In these models, the tumor
antigens were genetically humanized to allow for their normal
expression in appropriate host tissues (for MUC16), and the CD3
and/or CD28 components were genetically-humanized to allow
immunocompetent host cells to respond to the human-specific
clinical candidates. In these genetically-humanized immunocompetent
syngeneic animal models, it was found that just as in the xenogenic
animal models the CD28-bispecifics for the MUC16 tumor target
enhanced the anti-tumor activity of their appropriate
CD3-bispecifics. The similar enhancement of anti-tumor efficacy by
the different TSAxCD28 bispecifics (e.g., MUC16 and PSMA (data not
shown)) across multiple preclinical models suggests that this
therapeutic modality is robust and not limited to a specific tumor
model, and could have broader utility as a novel combination target
class for immunotherapy. Overall, the findings highlight that
TSAxCD28 bispecifics can synergize with TSAxCD3 bispecifics and may
provide a biologic solution that could markedly enhance the
efficacy of the well-studied TSAxCD3 bispecifics, in a reasonably
safe and well-tolerated manner, justifying testing in human
trials.
[0265] TSAxCD3 bispecifics represent a promising emerging class of
immunotherapy, but further optimization of anti-tumor activity will
surely be necessary in many cases. Just as CAR-T approaches have
employed chimeric receptors that artificially activate both "signal
1" and "signal 2" so as to improve their anti-tumor activity (E. A.
Zhukovsky, R. J. Morse, M. V. Maus, Bispecific antibodies and CARs:
generalized immunotherapeutics harnessing T cell redirection. Curr
Opin Immunol 40, 24-35 (2016); S. L. Maude et al., Tisagenlecleucel
in Children and Young Adults with B-Cell Lymphoblastic Leukemia. N
Engl J Med 378, 439-448 (2018)), it is shown now the potential
benefit of combining CD3-specifics (which provide "signal 1") with
CD28-bispecifics (which provide "signal 2") to enhance anti-tumor
activity. In addition to the practical benefits that such an
approach might have over CAR-T therapies--in that it does not
require a laborious cell therapy preparation that must be
individually customized for each patient, nor does it require that
patients be preemptively "lymphodepleted" via toxic chemotherapy so
that they can accept this cell therapy often associated with
adverse effects (A. Shimabukuro-Vornhagen et al., Cytokine release
syndrome. J Immunother Cancer 6, 56 (2018); C. H. June, R. S.
O'Connor, O. U. Kawalekar, S. Ghassemi, M. C. Milone, CAR T cell
immunotherapy for human cancer. Science 359, 1361-1365 (2018))--the
bispecific approach according to the invention offers the potential
for increased efficacy as well as increased safety and specificity
of action. That is, it is possible to take advantage of
"combinatorial targeting", by pairing a CD3-bispecific for one
antigen with a CD28-bispecific specific for a second
antigen--increased efficacy will only occur on tumor cells
expressing both antigens--thus focusing T cell killing only to
tumor cells expressing both antigens, while limiting "off target
toxicity" in normal tissues expressing only one of the antigens.
Collectively, the data presented herein demonstrate that combining
CD28-based bispecifics with CD3-based bispecifics may provide
well-tolerated, "off-the-shelf" biologics solutions with markedly
enhanced and synergistic anti-tumor activity. Initial testing of
this possibility in human trials will occur this year.
Example 9. MUC16xCD28 Alone or in Combination Therapy does not
Induce Systemic T Cell Activation in Comparison to CD28
Superagonist in Cynomolgus Monkeys
[0266] Exemplary MUC16xCD28 antibodies of the invention potentiate
MUC16xCD3 activation of T cells from cynomolgus monkeys (FIGS.
2F-2H). To determine the safety and tolerability of exemplary
anti-MUC16xCD28 bispecific antibodies of the invention alone or in
combination with anti-MUC16xCD3, a single dose toxicity study was
performed in cynomolgus monkeys. Female or male cynomolgus monkeys
were assigned to treatment groups as indicated in Table 27.
[0267] The cynomolgus monkey study was conducted in accordance with
IACUC guidelines. Male cynomolgus monkeys (3 animals/group)
received a single dose of each test article via intravenous
infusion for approximately 30 minutes (combination treatment was
administered as separate infusion for total of 1 hour). Assessment
of toxicity was based on clinical observations, qualitative food
consumption, body weight, neurological examinations, vital signs
(body temperature, heart rate, pulse oximetry, and respiration
rate), and clinical and anatomic pathology. Blood and tissue
samples were collected for cytokine analysis, immunophenotyping
analysis, histopathology and toxicokinetic evaluation. CRP levels
were analyzed on a Roche Modular P 800 system. Cytokines were
measured by Meso Scale Diagnostics (MSD, Rockville, Md.). For
peripheral blood flow cytometry, blood was collected into potassium
EDTA tubes, lysed, stained with anti-CD3, anti-Ki67 and anti-ICOS
(BD Biosciences) and analyzed with FACS Canto II.
[0268] Animals received a single dose of each test article via
intravenous infusion for approximately 30 minutes (combination
treatment was administered as separate infusion for total of 1
hour). Assessment of toxicity was based on clinical observations,
qualitative food consumption, body weight, neurological
examinations, vital signs (body temperature, heart rate, pulse
oximetry, and respiration rate), and clinical and anatomic
pathology. Blood samples were collected for cytokine analysis, FACS
immunophenotyping analysis, and toxicokinetic evaluation. No
significant cytokine release, T cell marginalization or T cell
activation marker upregulation were observed following single dose
administration of exemplary anti-MUC16xCD28 of the invention at 1
or 10 mg/kg, MUC16xCD3 at 1 or 10 mg/kg or combination treatments.
Table 27 summarizes different readouts including absolute T cell
numbers, T cell activation marker (ki67), CRP and serum cytokine
levels from blood obtained at the indicated time point from
individual animals. Further, these findings were validated using
dry- and wet-coated human T cell proliferation assays, which
demonstrated that anchoring MUC16xCD28 to assay plates using a
dry-coating or a wet-coating method does not induce T cell
activation in the absence of CD3 stimulus in contrast to a CD28
superagonist antibody (FIG. 7). Indeed, it was found that exemplary
anti-MUC16xCD28 bispecific antibodies of the invention as well as
the parent bivalent CD28 antibodies failed to induce human T cell
proliferation in comparison to the CD28 superagonist antibody.
Overall, the exploratory single-dose toxicology study in monkeys
and in vitro human T cell-based assays suggest that exemplary
anti-MUC16xCD28 antibodies of the invention are safe and well
tolerated.
TABLE-US-00027 TABLE 27 Cynomolgus Monkey Toxicity Study Summary
Any T-cells Ki67 + Day 1 - Obs. (E3/.mu.L) (E3/.mu.L) Dose Clinical
Days Pre- Pre- Molecule Description (mg/kg) Animal # Obs. 2-4 test
5 hr test 72 hr REGN4018 anti-Muc16 .times. 1 1501 -- -- 2.28 1.67
0.11 0.10 CD3 (hIgG4) 1502 -- -- 3.12 1.71 0.25 0.29 1503 -- --
3.84 1.58 0.21 0.17 bs24963D anti-Muc16 .times. 1 2501 -- -- 3.07
2.40 0.13 0.20 CD28 (hIgG4) 2502 -- -- 1.97 2.73 0.10 0.15 2503 --
-- 1.64 3.05 0.10 0.19 REGN4018 + anti-Muc16 .times. 1 + 1 3501 --
-- 2.89 1.98 0.19 0.10 bs24963D CD3 + anti- 3502 -- -- 1.62 1.18
0.10 0.06 Muc16 .times. CD28 3503 -- -- 1.80 1.37 0.10 0.09
REGN4018 anti-Muc16 .times. 10 4501 -- -- 2.48 0.89 0.13 0.12 CD3
(hIgG4) 4502 -- -- 1.16 0.52 0.10 0.12 4503 -- -- 3.75 1.01 0.23
0.21 bs24963D anti-Muc16 .times. 10 9501 -- -- 1.86 2.91 0.09 0.17
CD28 (hIgG4) 9502 -- -- 0.57 0.96 0.04 0.07 9503 -- -- 1.49 2.98
0.18 0.19 REGN4018 + anti-Muc16 .times. 10 + 10 6501 -- -- 3.58
0.75 0.21 0.09 bs24963D CD3 + anti- 6502 -- -- 3.98 1.29 0.31 0.29
Muc16 .times. CD28 6503 -- -- 2.01 0.79 0.17 0.10 REGN4018 +
anti-Muc16 .times. 1 + 10 5501 -- -- 1.70 1.37 0.14 0.23 bs24963D
CD3 + anti- 5502 -- -- 3.11 3.24 0.18 0.17 Muc16 .times. CD28 5503
-- -- 2.38 1.85 0.20 0.19 REGN4018 + anti-Muc16 .times. 1 + 1, 8501
-- -- 3.36 1.04 0.26 0.05 bs24963D CD3 + anti- repeat 8502 -- --
2.49 2.09 0.14 0.06 Muc16 .times. CD28 dosing 8503 -- -- 5.93 4.73
0.31 0.15 CRP (mg/dL) Plasma Cytokine at 5 hrs post-dose (pg/mL)
Molecule 24 hr IL-6 IL-8 IL-10 IFN-g TNF-a IL-2 IL-4 REGN4018 13.8
10 2 3 BLQ BLQ 7 BLQ 7.9 24 2 4 BLQ 4 BLQ BLQ 6 5 2 BLQ BLQ BLQ 3
BLQ bs24963D 0.4 3 3 BLQ BLQ 4 3 BLQ 0.1 4 3 3 BLQ 4 4 BLQ 0.2 7 3
4 46 6 4 BLQ REGN4018 + 13.3 24 3 4 47 4 13 BLQ bs24963D 13.3 22 3
BLQ 80 5 7 BLQ 9.8 7 BLQ BLQ BLQ 4 9 BLQ REGN4018 14.2 11 4 4 28 4
3 BLQ 7.6 7 4 4 31 BLQ 6 BLQ 2.5 5 4 4 38 4 4 BLQ bs24963D 0.1 4 4
4 BLQ 5 3 BLQ 0.2 9 4 4 BLQ BLQ 4 BLQ 0.5 7 4 5 BLQ 4 3 BLQ
REGN4018 + 14.3 31 5 3 BLQ BLQ 7 BLQ bs24963D 14.6 73 5 3 BLQ BLQ
38 BLQ 5.3 7 3 3 BLQ 4 BLQ BLQ REGN4018 + 14.2 6 4 4 36 BLQ 6 BLQ
bs24963D 5.5 7 5 4 BLQ BLQ 4 BLQ 6.2 31 4 4 BLQ BLQ 2 BLQ REGN4018
+ 14.4 12 4 4 BLQ 3 11 BLQ bs24963D 11.7 9 4 5 BLQ 5 7 BLQ 14.6 25
4 4 BLQ 4 4 BLQ BLQ: Below the Limit of Quantification LLOQ (Lower
Limit of Quantification): IFN-g = 37 pg/ml; TNF-a = 3 pg/ml; IL-2 =
2.4 pg/ml; IL-6 = 2 pg/ml; IL-8 = 1.7 pg/mL; IL-4 = 1.8 pg/mL;
IL-10 = 3 pg/ml
[0269] Blood samples were collected for cytokine and flow cytometry
immunophenotyping analysis. While CD28-SA administered to monkeys
induced significant cytokine release, lymphocyte margination and T
cell activation, it was notable that no cytokine release, T cell
margination or T cell activation was observed following
administration of MUC16xCD28 (FIGS. 8A-8C and Table 27). Overall,
these preliminary observations suggest that TSAxCD28 bispecifics
are well-tolerated in primates, and do not induce cytokine release
and T cell activation as is seen with CD28-SA (data not shown). It
should be noted that previous studies with CD28-SA in monkeys
failed to predict the profound cytokine release and T cell
activation seen in humans (Tegenaro A G,
www.circare.org/foia5/tgn1412investigatorbrochure.pdf), and this
was attributed to lower CD28 expression in monkeys (D. Eastwood et
al., Monoclonal antibody TGN1412 trial failure explained by species
differences in CD28 expression on CD4+ effector memory T-cells. Br
J Pharmacol 161, 512-526 (2010)). Although tolerability studies in
cynomolgus monkeys might not be predictive of CRS in humans, the
strong signals noted with CD28-SA in monkeys suggest that this was
missed by Tegenaro et al. simply because they did not examine the
appropriate early timepoints when these responses can be robustly
observed.
Example 10: Binding of bs24963D(MUC16 X CD28 Ab, Also Referred to
as REGN5668) and REGN4018 (MUC16 X CD3) to Cell Lines Expressing
Human or Cynomolgus Monkey MUC16, to Primary Cells from Human or
Cynomolgus Monkey PBMC, and a T-Cell Line
Materials and Methods-Summary of Experimental Procedures
[0270] Flow cytometric analysis was utilized to determine binding
of bs24963D to human ovarian cancer cell lines (OVCAR-3 and PEO1)
endogenously expressing human MUC16, and of bs24963Dand REGN4018 to
mouse ID8 cells engineered to express human or cynomolgus MUC16, to
3T3 cells engineered to express human MUC16, to human and
cynomolgus monkey T cells, and to the engineered reporter T-cell
line.
[0271] Briefly, 1.times.10.sup.5 cells/well were incubated for 30
minutes at 4.degree. C. with a serial dilution of antibodies
including bs24963D, REGN4018, and control antibodies
(IgG4.sup.P-PVA non-binding control mAb, CD28 non-bridging control
bispecific antibody, or parental CD28 or CD3 controls).
[0272] Antibody dilutions ranged from 12.2 .mu.M to 200 nM for
human and cynomolgus monkey primary T cells and engineered reporter
T cells, whereas 8.1 pM to 133 nM was chosen for MUC16.sup.+ target
cells.
[0273] After incubation, cells were washed twice with cold PBS
containing 1% filtered FBS, followed by detection with a
phycoerythrin (PE)-labeled anti-human IgG (MUC16+ cells) or
Alexa647-labeled anti-human IgG (CD28.sup.+ cells).
[0274] Near-infrared (IR) reactive LIVE/DEAD dye was added to human
and cynomolgus monkey T cells. Wells containing no antibody or
secondary antibody only were used as a control.
[0275] After incubation with MUC16.sup.+ cells or the
J.RT3.T3.5/NF-.kappa.B-Luc/1 G4AB/hCD8.alpha..beta./hCD28 cell
line, cells were washed, re-suspended in 200 .mu.L FACS buffer
(cold PBS containing 1% filtered FBS and 1 mM EDTA) and analyzed by
flow cytometry on a BD FACS Canto II.
[0276] After incubation with human or cynomolgus monkey T cells,
cells were washed and stained with a cocktail of anti-CD2,
anti-CD16, anti-CD4, and anti-CD8 in FACS buffer for 20 minutes at
4.degree. C. After wash, cells were re-suspended in FACS buffer,
and gated on Live/CD2.sup.+/CD4.sup.+/CD16.sup.- or
Live/CD2.sup.+/CD8.sup.+/CD16.sup.- and analyzed by flow cytometry
on a BD LSRFortessa X-20.
[0277] For EC.sub.50 determinations, measured MFI values were
analyzed using a four-parameter logistic equation over an 9-point
response curve using GraphPad Prism. The fold increase in maximum
MFI was determined by taking the ratio of the highest MFI detected
to the MFI of wells containing secondary antibody only.
[0278] Flow cytometry was also used to determine binding of
bs24963D and a commercial anti-PD-L1 antibody to MUC16.sup.+ human
pancreatic cancer cells, SW1990 and SW1990/hPD-L1 cells. Briefly,
2.times.10.sup.5 cells were incubated with 5 .mu.L (66.7 nM)
bs24963D, anti-PD-L1 (2.5 .mu.L), or non-binding control antibody
conjugated with AlexaFluor647 (bs24963D) or APC (anti-PD-L1) and
incubated on ice for 30 minutes. Cells were washed once with stain
buffer, centrifuged, and washed with D-PBS. Cells were stained with
100 .mu.L of 1:1000 dilution of LIVE/DEAD Fixable violet viability
dye and incubated for 15 minutes at room temperature. Cells were
washed 3 times in staining buffer and resuspended in 100 .mu.L 1:1
staining buffer and cytofix solution and analyzed by flow cytometry
using the Cytoflex cytometer. Fold binding over viability was
calculated by dividing MFI of antibody of interest over the MFI of
viability alone.
Materials and Methods
NF-.kappa.B Luciferase Reporter Bioassay
[0279] The ability of bs24963D to enhance TCR-mediated signaling
was assessed in an engineered T cell/antigen-presenting cell-based
reporter assay as shown in FIG. 10. TCRs recognize specific
MHC/peptide complexes and activate T cells via numerous
transcription factors such as activator protein 1 (AP-1), nuclear
factor of activated T cells (NFAT), or nuclear factor
kappa-light-chain-enhancer of activated B cells (NF-.kappa.B)
(Goldrath, 1999; Nature 402:255-62) (Shapiro, 1998; J. Immunology;
161(12):6455-8). The T-cell response is further refined via
engagement of co-stimulatory receptors, such as CD28, which is in
turn activated by its endogenous ligands, CD80 or CD86, and
subsequently potentiates cellular signals, such as pathways
controlled by the NF-.kappa.B transcription factor, after TCR
activation.
[0280] In this assay, engineered T cells are directly activated via
the 1 G4 TCR (IG4AB), which recognizes the NY-ESO-1 157-165 peptide
(NYESO1p) in complex with the human MHC class I molecule, HLA-A2,
and h.beta.32M displayed on engineered antigen-presenting 3T3 cells
(Robbins, 2008; J. of Immunology; 180(9): 6116-31). TCR activation
leads to the production of luciferase, which is driven by the
NF-.kappa.B transcription factor in the engineered reporter T
cells. CD8 facilitates the TCR/MHC interaction and promotes T-cell
activation by recruiting the lymphocyte-specific protein tyrosine
kinase (Lck) to the TCR/CD3 complex, thereby enhancing TCR
signaling through the phosphorylation of intracellular
immunoreceptor tyrosine-based activation motifs (ITAMs) (Cole,
2012; Immunology; 137(2):139-48) (Guirado, 2002; Biochem. Biophys.
Res. Comm. 291(3):574-81).
[0281] Two-fold serial dilutions of bs24963D, non-bridging control
(non-TAAxCD28 bispecific antibody), or a non-binding control (39
.mu.M to 10 nM) were added in duplicate to 5.times.10.sup.4
engineered reporter T cells (J.RT3.T3.5/NF-.kappa.B-Luc/1
G4AB/hCD8.alpha..beta./hCD28) per well in the presence of
1.5.times.10.sup.4 antigen-presenting cells that were either
MUC16.sup.- (3T3/h.beta.2M/HLA-A2/NYESO1p) or MUC16.sup.+
(3T3/h.beta.2M/HLA-A2/NYESO1p/hMUC16). The antibody dilutions and
bioassay were performed in complete media (RPMI supplemented with
10% FBS, and a cocktail of penicillin, streptomycin, and
L-glutamine). Wells containing no antibody were included as
additional controls and used to calculate the fold increase of the
activity and EC.sub.50 values. Plates were incubated at 37.degree.
C. and 5% CO.sub.2 for 5 hours and then ONE-Glo luciferase
substrate (100 .mu.L) was added to each well. The luciferase
activity was recorded as a luminescence signal using the ENVISION
plate reader expressed as relative light units (RLU). Detected RLU
values were analyzed by a 4-parameter logistic equation over a
10-point response curve using GraphPad Prism.
[0282] Maximum activation signal was determined as the mean maximum
RLU response detected within the tested antibody concentration
range. The fold increase in activity was calculated as the ratio of
the highest mean RLU value recorded within the tested antibody
concentration range over the mean RLU value recorded in the absence
of the antibody.
T-Cell Activation Assays for T-Cell Proliferation and IL-2
Release
[0283] The capacity of bs24963D to mediate IL-2 release and T-cell
proliferation in the presence of a constant concentration of
REGN4018 (assessed in human ovarian cancer cell lines OVCAR-3 and
PEO1) or in the presence of a constant concentration of cemiplimab
(assessed in human pancreatic cancer cell lines [SW1990 and
SW1990/hPD-L1]) was determined using T-cell activation assays with
enriched human primary T cells from 3 or 2 donors,
respectively.
Human Primary T Cell Isolation
[0284] Human PBMC were isolated from 4 healthy donor leukocyte
packs. For donors 555014 and 555109, PBMC were isolated from
peripheral blood using density gradient centrifugation. Briefly, 15
mL of Ficoll Plaque Plus was added to 50 mL conical tubes and
subsequently 30 mL of blood diluted 1:1 with PBS containing 2% FBS
was layered on top. After a 30-minute centrifugation at
400.times.g, with the brake off, the mononuclear cell layer was
transferred to a fresh tube, diluted 5.times. with PBS containing
2% FBS and centrifuged for 8 minutes at 300.times.g. For donors
555131 and 555129, PBMC were isolated from peripheral blood from a
healthy donor using EasySep Direct Human PBMC Isolation Kit from
Stem Cell Technologies and following the manufacturers protocol.
Isolated PBMC were frozen in FBS containing 10% DMSO. For CD3.sup.+
T-cell isolation, frozen vials of PBMC were thawed in a 37.degree.
C. water bath and diluted in stimulation media (X-VIVO 15 cell
culture media supplemented with 10% FBS, HEPES, NaPyr, NEAA, and
0.01 mM 3-mercaptoethanol [BME]) containing 50 U/mL Benzonase.RTM.
Nuclease. Cells were centrifuged at 1200 rpm for 10 minutes,
resuspended in EasySep buffer and isolated using StemCell
Technologies EasySep T-Cell Isolation kit following the
manufacturer's protocol.
T-Cell Activation Assay with Human OVCAR-3, PEO1, SW1990,
SW1990/hPD-L1 Cells and Human Primary T Cells
[0285] CD3.sup.+ T cells, resuspended in stimulation media (X-VIVO
15 cell culture media supplemented with 10% FBS, HEPES, NaPyr,
NEAA, and 0.01 mM BME), were plated out into 96-well round bottom
plates at a concentration of 1.times.10.sup.5 cells/well. OVCAR-3,
PEO1, SW1990, or SW1990/hPD-L1 cells were treated with 25 .mu.g/mL
(OVCAR-3), 10 .mu.g/mL (PEO1), or 30 .mu.g/mL (SW1990 and
SW1990/hPD-L1) mitomycin C to arrest proliferation. After
incubation for 1 hour at 37.degree. C., 5% CO.sub.2, mitomycin
C-treated cells were washed 3 times with D-PBS containing 2% FBS,
followed by a final resuspension in stimulation media. OVCAR-3,
PEO1, SW1990, and SW1990/hPD-L1 cells were added to wells
containing CD3.sup.+ T cells at a final concentration of
1.times.10.sup.4, 2.5.times.10.sup.4 cells, or 5.times.10.sup.4
cells respectively for OVCAR-3, PEO1, and both SW1990 cells. A
constant concentration of REGN4018 or CD3 non-bridging control
bispecific antibody (5 nM), or cemiplimab or non-binding IgG4.sup.P
control (20 nM), was added to wells containing OVCAR-3, PEO1,
SW1990, or SW1990/hPD-L1 cells. Subsequently, bs24963D,
non-TAAxCD28 control, or non-binding control, antibodies were
titrated from 7.6 .mu.M to 500 nM in a 1:4 dilution series and
added to wells. The final point of the 10-point concentration curve
contained no antibody and was used to calculate the fold increase
of activity. After incubating plates for 72 (OVCAR-3 and PEO1) or
96 (SW1990 and SW1990/hPD-L1) hours at 37.degree. C., 5% CO.sub.2,
50 .mu.L of media supernatant was collected to measure IL-2 release
in advance of treatment with [Methyl-.sup.3H]-Thymidine to quantify
proliferation.
[0286] For IL-2 release, 5 .mu.L (for assays using OVCAR-3 and PEO1
cells) or 20 .mu.L (for assays using SW1990 and SW1990/hPD-L1
cells) of supernatant was tested using the human IL-2 AlphaLISA kit
according the manufacturer's protocol. The IL-2 measurements were
acquired on Perkin Elmer's multilabel plate reader Envision and
reported as Relative Fluorescence Units (RFU).
[0287] For proliferation assays, 50 .mu.L of
[Methyl-.sup.3H]-Thymidine diluted to 2mCi/mL in stimulation media
was added to wells and the plates were incubated for either 6 hours
(for assays using OVCAR-3 and PEO1 cells) or 16 hours (for assays
using SW1990 and SW1990/hPD-L1 cells). [Methyl-.sup.3H]-Thymidine
will be incorporated at higher amounts in dividing cells. After the
incubation, cells were harvested onto filter plates and prepared
for the measurement on the Microplate Scintillation &
Luminescence Counter TopCount NXT instrument.
[0288] All serial dilutions were tested in triplicate for IL-2
release and proliferation. The EC.sub.50 values for the antibodies
were determined from a 4-parameter logistic equation over a
10-point dose-response curve using GraphPad Prism.TM. software.
Maximal levels of IL-2 release and proliferation are given as the
mean maximal response detected within the tested dose range. Fold
increase of maximum IL-2 release or T-cell proliferation mediated
by bs24963D was calculated relative to the maximum IL-2 release or
proliferation mediated by no antibody.
[0289] The ability of bs24963D to activate T cells was evaluated in
an assay in which stimulatory antigen-presenting cells provide
signal 1. This assay used J.RT3.T3.5 reporter T cells engineered to
express human CD8, human CD28, a literature-described TCR (1G4)
that recognizes an NY-ESO-1 peptide (NYESO1p) in complex with
HLA-A2, and an NF-.kappa.B-Luciferase reporter. The stimulatory
antigen-presenting cells providing signal 1 were 3T3 cells
engineered to express HLA-A2, h.beta.2M, and NYESO1p with or
without human MUC16 (hMUC16). A CD28 non-bridging control
bispecific antibody (non-TAAxCD28) and a non-binding control mAb
(IgG4.sup.P-PVA) were tested in parallel with bs24963D. NF-.kappa.B
signaling was measured using a luminescent reagent to detect
luciferase reporter activity. Results are summarized in Table
28.
[0290] In this test system, bs24963D mediated a
concentration-dependent increase in NF-.kappa.B signaling in the
reporter T cells in the presence of the MUC16.sup.+ antigen
presenting cells; no activity was seen using cells lacking MUC16
expression (FIGS. 11A and 11B). No increase in NF-.kappa.B
signaling was observed with the CD28 non-bridging control
bispecific antibody.
TABLE-US-00028 TABLE 28 Summary of bs24963D-Mediated
NF-.kappa.B-Luciferase Activation Antigen Presenting Cells
(+/-MUC16) 3T3/h.beta.2M/HLA-A2/ 3T3/h.beta.2M/ NYESO1p/hMUC16
HLA-A2/NYESO1p EC.sub.50 Max Fold EC.sub.50 Max Fold Antibody (M)
RLU .sup.a Increase (M) RLU .sup.a Increase bs24963D 2.88 .times.
10.sup.-10 254,300 2.11 ND 65,920 1.00 Non-TAA .times. CD28 ND
133,220 1.24 ND 64,740 1.02 .sup.a The maximum RLU is the highest
mean RLU value observed within the tested antibody concentration
range (39 pM to 10 nM). .sup.bFold increase of maximum RLU mediated
by bs24963D or non-TAA .times. CD28 was calculated relative to the
maximum RLU mediated by no antibody. Abbreviations: ND, not
determined because a concentration-dependent increase in luciferase
activity was not observed
Example 11. Assessment of bs24963D (Anti-MUC16 X
Anti-CD28)-Mediated IL-2 Release and Proliferation of Human Primary
T Cells in the Presence or Absence of REGN4018 (Anti-MUC16 X
Anti-CD3) or Cemiplimab (a PD-1 Antagonist Antibody)
[0291] The ability of bs24963D to activate human primary T cells,
as determined by IL-2 release and T-cell proliferation, was
evaluated in the presence of 2 different MUC16.sup.+ human ovarian
cancer cell lines (OVCAR-3 and PEO1). As these cells do not provide
sufficient signal 1 from an allogeneic response, a fixed
concentration of REGN4018 (a MUC16 X CD3 bispecific antibody) was
included to provide signal 1. Results for OVCAR-3 and PEO1 cells
are summarized in Table 29 for IL-2 release and in Table 30 for
proliferation.
[0292] The ability of bs24963D to activate human primary T cells,
as determined by IL-2 release and T-cell proliferation, was
evaluated in the presence of a MUC16.sup.+ human pancreatic cancer
cell line (SW1990) and SW1990 engineered to overexpress human PD-L1
(SW1990/hPD-L1). Both cell lines provide an allogeneic response
that is sufficient to serve as signal 1. In addition, the ability
of fixed concentrations of cemiplimab (20 nM) to augment the
effects of bs24963D was also assessed. Results for SW1990 and
SW1990/hPD-L1 cells are summarized in Table 31 for IL-2 release and
Table 32 for proliferation.
Ability of bs24963D (REGN5668) to Enhance IL-2 Release from and
Proliferation of Human Primary T Cells in the Presence or Absence
of REGN4018 with OVCAR-3 and PEO1 Target Cells
[0293] When incubated with OVCAR-3 and PEO1 cancer cells, bs24963D
mediated concentration-dependent enhancement of IL-2 release from
(FIG. 12) and proliferation of (FIG. 13) human T cells only in the
presence of REGN4018. The CD3 and CD28 non-bridging control
bispecific antibodies did not enhance IL-2 release in either the
presence or absence of REGN4018.
[0294] In this assay, 5 nM REGN4018 alone did not increase IL-2
release but showed a moderate enhancement of T-cell proliferation
relative to non-binding control.
TABLE-US-00029 TABLE 29 Summary of bs24963D-Mediated Enhancement of
IL-2 Release from Human Primary T Cells in the Presence or Absence
of REGN4018 with OVCAR-3 and PEO1 Target Cells IL-2 Release from
Human Antibody Tested Primary T Cells Ab at Fixed at Varying Max
Fold Target Concentration Concentrations IL-2.sup.a Increase.sup.b
Cell Line Donor (5 nM) (7.6 pM to 500 nM) EC.sub.50 (M) (RFU)
(IL-2) OVCAR-3 Donor REGN4018 bs24963D .sup. 7.07 .times.
10.sup.-10 46,931 20.01 555014 Non-TAA .times. CD28 NC 4,741 1.89
Non-TAA .times. CD3 bs24963D NC 1,361 2.75 Non-TAA .times. CD28 NC
3,033 6.62 Donor REGN4018 bs24963D 1.22 .times. 10.sup.-9 36,725
32.10 555109 Non-TAA .times. CD28 NC 1,638 1.38 Non-TAA .times. CD3
bs24963D ND 893 1.82 Non-TAA .times. CD28 NC 1,403 2.84 Donor
REGN4018 bs24963D 5.90 .times. 10.sup.-9 46,209 13.08 555131
Non-TAA .times. CD28 NC 4,443 1.33 Non-TAA .times. CD3 bs24963D NC
1,814 2.71 Non-TAA .times. CD28 NC 3,136 5.95 PEO1 Donor REGN4018
bs24963D 1.95 .times. 10.sup.-9 31024 30.30 555014 Non-TAA .times.
CD28 NC 2312 2.16 Non-TAA .times. CD3 bs24963D NC 2490 5.56 Non-TAA
.times. CD28 NC 2776 6.12 Donor REGN4018 bs24963D 3.10 .times.
10.sup.-9 16,421 20.03 555109 Non-TAA .times. CD28 ND 897 1.33
Non-TAA .times. CD3 bs24963D NC 2,039 4.36 Non-TAA .times. CD28 NC
1,360 2.35 Donor REGN4018 bs24963D 2.42 .times. 10.sup.-9 29,217
25.70 555014 Non-TAA .times. CD28 NC 2,175 1.82 Non-TAA .times. CD3
bs24963D NC 2,911 5.77 Non-TAA .times. CD28 NC 2,443 4.42 .sup.aThe
maximum IL-2 concentration is the highest mean IL-2 concentration
value recorded within the tested antibody concentration range.
.sup.bFold increase of maximum IL-2 release mediated by bs24963D,
in the presence or absence of REGN4018, was calculated relative to
the maximum IL-2 release mediated by no antibody. Abbreviations:
NC, Not calculated because the data did not fit a 4-parameter
logistic equation, not determined because a concentration-dependent
increase in IL-2 release was not observed.
TABLE-US-00030 TABLE 30 Summary of bs24963D-Mediated Enhancement of
Proliferation from Human Primary T Cells in the Presence or Absence
of REGN4018 with OVCAR-3 and PEO1 Target Cells Antibody Tested
T-Cell Proliferation Target Ab at Fixed at Varying Max Fold Cell
Concentration Concentrations Proliferation.sup.a Increase.sup.b
Line Donor (5 nM) (7.6 pM to 500 nM) EC.sub.50 (M) (CPM)
(Proliferation) OVCAR-3 Donor REGN4018 bs24963D 8.89 .times.
10.sup.-11 13,968 2.03 555014 Non-TAA .times. CD28 NC 11,260 1.59
Non-TAA .times. CD3 bs24963D NC 336 1.38 Non-TAA .times. CD28 NC
579 1.60 Donor REGN4018 bs24963D 9.45 .times. 10.sup.-11 14,818
3.18 555109 Non-TAA .times. CD28 4.61 .times. 10.sup.-8 8,141 1.66
Non-TAA .times. CD3 bs24963D ND 416 1.37 Non-TAA .times. CD28 ND
475 1.33 Donor REGN4018 bs24963D 2.47 .times. 10.sup.-11 13,607
1.66 555131 Non-TAA .times. CD28 NC 10,154 1.16 Non-TAA .times. CD3
bs24963D NC 622 1.82 Non-TAA .times. CD28 NC 562 1.68 PEO1 Donor
REGN4018 bs24963D 1.73 .times. 10.sup.-10 9,605 3.27 555014 Non-TAA
.times. CD28 NC 6,953 2.26 Non-TAA .times. CD3 bs24963D NC 603 2.58
Non-TAA .times. CD28 NC 551 3.09 Donor REGN4018 bs24963D 4.04
.times. 10.sup.-10 10,304 8.42 555109 Non-TAA .times. CD28 NC 4,888
4.62 Non-TAA .times. CD3 bs24963D NC 733 2.84 Non-TAA .times. CD28
NC 419 1.72 Donor REGN4018 bs24963D 2.22 .times. 10.sup.-10 10,335
3.69 555014 Non-TAA .times. CD28 4.22 .times. 10.sup.-8 5,631 2.06
Non-TAA .times. CD3 bs24963D NC 835 4.44 Non-TAA .times. CD28 NC
523 2.29 .sup.aThe maximum proliferation is the highest mean CPM
value recorded within the tested antibody concentration range.
.sup.bFold increase of maximum T-cell proliferation mediated by
bs24963D, in the presence or absence of REGN4018, was calculated
relative to the maximum proliferation mediated in the absence of
bs24963D or non-TAA .times. CD28 control. Abbreviations: NC, Not
calculated because the data did not fit a 4-parameter logistic
equation; ND, not determined because a concentration-dependent
increase in proliferation was not observed
Ability of bs24963D (REGN5668) to Enhance IL-2 Release from and
Proliferation of Human Primary T Cells in the Presence or Absence
of Cemiplimab with SW1990 and SW1990/hPD-L1 Target Cells
[0295] When incubated with SW1990 and SW1990/hPD-L1 MUC16.sup.+
human pancreatic cancer cells, bs24963D mediated
concentration-dependent enhancement of IL-2 release from (FIG. 14)
and proliferation of (FIG. 15) human T cells in the presence and
absence of cemiplimab. Overexpression of human PD-L1 in SW1990
cells suppressed IL-2 and T-cell proliferation in the presence of
bs24963D and these were modestly increased by the addition of
cemiplimab. At high concentrations, the CD28 non-bridging control
bispecific antibody mediated some IL-2 release in the presence of
SW1990 and SW1990/hPD-L1 cells. In the absence of bs24963D,
cemiplimab did not increase IL-2 release or T-cell proliferation
relative to CD28 non-bridging control bispecific antibody.
TABLE-US-00031 TABLE 31 Summary of bs24963D-Mediated Enhancement of
IL-2 Release from Human Primary T Cells in the Presence or Absence
of Cemiplimab with SW1990 and SW1990/hPD-L1 Target Cells IL-2
Release from Human Antibody Tested Primary T Cells Target Ab at
Fixed at Varying Max Fold Cell Concentration Concentrations
IL-2.sup.a Increase.sup.b Line Donor (20 nM) (7.6 pM to 500 nM)
EC.sub.50 (M) (RFU) (IL-2) SW1990 Donor cemiplimab bs24963D 2.98
.times. 10.sup.-9 3,773 3.31 555109 Non-TAA .times. CD28 ND 1,415
1.98 IgG4.sup.P control bs24963D 2.31 .times. 10.sup.-9 2,922 4.83
Non-TAA .times. CD28 ND 944 1.31 Donor cemiplimab bs24963D .sup.
8.60 .times. 10.sup.-10 4,833 3.39 555129 Non-TAA .times. CD28 NC
2,927 2.28 IgG4.sup.P control bs24963D 1.21 .times. 10.sup.-9 3,589
2.89 Non-TAA .times. CD28 NC 2,027 1.51 SW1990/hPD-L1 Donor
cemiplimab bs24963D 1.01 .times. 10.sup.-9 1,692 2.73 555109
Non-TAA .times. CD28 NC 1,102 1.60 IgG4.sup.P control bs24963D 2.55
.times. 10.sup.-9 1,053 1.70 Non-TAA .times. CD28 ND 616 1.23 Donor
cemiplimab bs24963D 1.41 .times. 10.sup.-9 3,391 2.33 555129
Non-TAA .times. CD28 NC 1,977 1.57 IgG4.sup.P control bs24963D 2.22
.times. 10.sup.-9 2,161 2.14 Non-TAA .times. CD28 ND 1,459 1.49
.sup.aThe maximum IL-2 concentration is the highest mean IL-2
concentration value recorded within the tested antibody
concentration range. .sup.bFold increase of maximum IL-2 release
mediated by bs24963D, in the presence or absence of cemiplimab, was
calculated relative to the maximum IL-2 release mediated by no
antibody. Abbreviations: NC, not calculated because the data did
not fit a 4-parameter logistic equation; ND, not determined because
a concentration-dependent increase in IL-2 release was not
observed
TABLE-US-00032 TABLE 32 Summary of bs24963D-Mediated Enhancement of
Proliferation from Human Primary T Cells in the Presence or Absence
of Cemiplimab with SW1990 and SW1990/hPD-L1 Target Cells Antibody
Tested T-Cell Proliferation Target Ab at Fixed at Varying Max Cell
Concentration Concentrations Proliferation .sup.a Fold
Increase.sup.b Line Donor (20 nM) (7.6 pM to 500 nM) EC.sub.50 (M)
(CPM) (Proliferation) SW1990 Donor cemiplimab bs24963D 1.68 .times.
10.sup.-9 557 4.52 555109 Non-TAA .times. CD28 ND 161 1.41
IgG4.sup.P control bs24963D 2.86 .times. 10.sup.-9 421 4.36 Non-TAA
.times. CD28 ND 123 1.46 Donor cemiplimab bs24963D .sup. 4.59
.times. 10.sup.-10 545 2.47 555129 Non-TAA .times. CD28 ND 279 1.66
IgG4.sup.P control bs24963D .sup. 4.83 .times. 10.sup.-10 569 2.17
Non-TAA .times. CD28 ND 353 1.46 SW1990/ Donor cemiplimab bs24963D
1.40 .times. 10.sup.-9 279 4.70 hPD-L1 555109 Non-TAA .times. CD28
ND 151 1.98 IgG4.sup.P control bs24963D 1.54 .times. 10.sup.-9 140
2.35 Non-TAA .times. CD28 ND 84.0 1.42 Donor cemiplimab bs24963D
2.53 .times. 10.sup.-9 601 3.20 555129 Non-TAA .times. CD28 NC 222
1.73 IgG4.sup.P control bs24963D 1.66 .times. 10.sup.-9 333 2.74
Non-TAA .times. CD28 ND 146 1.62 .sup.a The maximum proliferation
is the highest mean CPM value recorded within the tested antibody
concentration range. .sup.bFold increase of maximum T-cell
proliferation mediated by bs24963D, in the presence or absence of
cemiplimab, was calculated relative to the maximum proliferation
mediated in the absence of bs24963D or non-TAA .times. CD28
control. Abbreviations: NC, not calculated because the data did not
fit a 4-parameter logistic equation; ND, not determined because a
concentration-dependent increase in proliferation was not
observed
[0296] The present invention is not to be limited in scope by the
specific embodiments described herein. Indeed, various
modifications of the invention in addition to those described
herein will become apparent to those skilled in the art from the
foregoing description and the accompanying figures. Such
modifications are intended to fall within the scope of the appended
claims.
Sequence CWU 1
1
541387DNAArtificial Sequencesynthetic 1gaggtgcagc tggtggagtc
tgggggaggc ttggaacagc cagggcggtc cctgagactc 60tcctgtacag cttctggatt
cgcctttggt gatcatacta tgagctgggt ccgccaggct 120ccagggaagg
ggctggagtg ggtaggtttc attagaagta gagcttatgg tgggacaaca
180gaatacgccg cgtctgtgaa aggcagattc accatctcaa gagatgattc
caaaagcatc 240gcctatctgc aaatggacag cctgaaaacc gaggacacag
ccgtgtatta ttgtactagc 300gggggatatg atagtagtct tcattactac
tattactacc acggtatgga cgtctggggc 360cgagggacca cggtcaccgt ctcctca
3872129PRTArtificial Sequencesynthetic 2Glu Val Gln Leu Val Glu Ser
Gly Gly Gly Leu Glu Gln Pro Gly Arg1 5 10 15Ser Leu Arg Leu Ser Cys
Thr Ala Ser Gly Phe Ala Phe Gly Asp His 20 25 30Thr Met Ser Trp Val
Arg Gln Ala Pro Gly Lys Gly Leu Glu Trp Val 35 40 45Gly Phe Ile Arg
Ser Arg Ala Tyr Gly Gly Thr Thr Glu Tyr Ala Ala 50 55 60Ser Val Lys
Gly Arg Phe Thr Ile Ser Arg Asp Asp Ser Lys Ser Ile65 70 75 80Ala
Tyr Leu Gln Met Asp Ser Leu Lys Thr Glu Asp Thr Ala Val Tyr 85 90
95Tyr Cys Thr Ser Gly Gly Tyr Asp Ser Ser Leu His Tyr Tyr Tyr Tyr
100 105 110Tyr His Gly Met Asp Val Trp Gly Arg Gly Thr Thr Val Thr
Val Ser 115 120 125Ser324DNAArtificial Sequencesynthetic
3ggattcgcct ttggtgatca tact 2448PRTArtificial Sequencesynthetic
4Gly Phe Ala Phe Gly Asp His Thr1 5530DNAArtificial
Sequencesynthetic 5attagaagta gagcttatgg tgggacaaca
30610PRTArtificial Sequencesynthetic 6Ile Arg Ser Arg Ala Tyr Gly
Gly Thr Thr1 5 10760DNAArtificial Sequencesynthetic 7actagcgggg
gatatgatag tagtcttcat tactactatt actaccacgg tatggacgtc
60820PRTArtificial Sequencesynthetic 8Thr Ser Gly Gly Tyr Asp Ser
Ser Leu His Tyr Tyr Tyr Tyr Tyr His1 5 10 15Gly Met Asp Val
209324DNAArtificial Sequencesynthetic 9gaaattgtgt tgacgcagtc
tccaggcacc ctgtctttgt ctccagggga aagagccacc 60ctctcctgca gggccagtca
gagtgttagc agcagctact tagcctggta ccagcagaaa 120cctggccagg
ctcccaggct cctcatctat ggtgcatcca gcagggccac tggcatccca
180gacaggttca gtggcagtgg gtctgggaca gacttcactc tcaccatcag
cagactggag 240cctgaagatt ttgcagtgta ttactgtcag cagtatggta
gctcaccttg gacgttcggc 300caagggacca aggtggaaat caaa
32410108PRTArtificial Sequencesynthetic 10Glu Ile Val Leu Thr Gln
Ser Pro Gly Thr Leu Ser Leu Ser Pro Gly1 5 10 15Glu Arg Ala Thr Leu
Ser Cys Arg Ala Ser Gln Ser Val Ser Ser Ser 20 25 30Tyr Leu Ala Trp
Tyr Gln Gln Lys Pro Gly Gln Ala Pro Arg Leu Leu 35 40 45Ile Tyr Gly
Ala Ser Ser Arg Ala Thr Gly Ile Pro Asp Arg Phe Ser 50 55 60Gly Ser
Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Arg Leu Glu65 70 75
80Pro Glu Asp Phe Ala Val Tyr Tyr Cys Gln Gln Tyr Gly Ser Ser Pro
85 90 95Trp Thr Phe Gly Gln Gly Thr Lys Val Glu Ile Lys 100
1051121DNAArtificial Sequencesynthetic 11cagagtgtta gcagcagcta c
21127PRTArtificial Sequencesynthetic 12Gln Ser Val Ser Ser Ser Tyr1
5139DNAArtificial Sequencesynthetic 13ggtgcatcc 9143PRTArtificial
Sequencesynthetic 14Gly Ala Ser11527DNAArtificial Sequencesynthetic
15cagcagtatg gtagctcacc ttggacg 27169PRTArtificial
Sequencesynthetic 16Gln Gln Tyr Gly Ser Ser Pro Trp Thr1
517366DNAArtificial Sequencesynthetic 17caggtgcagc tgcaggagtc
gggcccagga ctggtgaagc cttcggagac cctgtccctc 60acctgcactg tctctggtgg
ctccatcagt agttactact ggagctggat ccggcagccc 120ccagggaagg
gactggagtg gattgggtat atctattaca gtgggatcac ccactacaac
180ccctccctca agagtcgagt caccatatca gtagacacgt ccaagatcca
gttctccctg 240aagctgagtt ctgtgaccgc tgcggacacg gccgtgtatt
actgtgcgag atggggggtt 300cggagggact actactacta cggtatggac
gtctggggcc aagggaccac ggtcaccgtc 360tcctca 36618122PRTArtificial
Sequencesynthetic 18Gln Val Gln Leu Gln Glu Ser Gly Pro Gly Leu Val
Lys Pro Ser Glu1 5 10 15Thr Leu Ser Leu Thr Cys Thr Val Ser Gly Gly
Ser Ile Ser Ser Tyr 20 25 30Tyr Trp Ser Trp Ile Arg Gln Pro Pro Gly
Lys Gly Leu Glu Trp Ile 35 40 45Gly Tyr Ile Tyr Tyr Ser Gly Ile Thr
His Tyr Asn Pro Ser Leu Lys 50 55 60Ser Arg Val Thr Ile Ser Val Asp
Thr Ser Lys Ile Gln Phe Ser Leu65 70 75 80Lys Leu Ser Ser Val Thr
Ala Ala Asp Thr Ala Val Tyr Tyr Cys Ala 85 90 95Arg Trp Gly Val Arg
Arg Asp Tyr Tyr Tyr Tyr Gly Met Asp Val Trp 100 105 110Gly Gln Gly
Thr Thr Val Thr Val Ser Ser 115 1201924DNAArtificial
Sequencesynthetic 19ggtggctcca tcagtagtta ctac 24208PRTArtificial
Sequencesynthetic 20Gly Gly Ser Ile Ser Ser Tyr Tyr1
52121DNAArtificial Sequencesynthetic 21atctattaca gtgggatcac c
21227PRTArtificial Sequencesynthetic 22Ile Tyr Tyr Ser Gly Ile Thr1
52348DNAArtificial Sequencesynthetic 23gcgagatggg gggttcggag
ggactactac tactacggta tggacgtc 482416PRTArtificial
Sequencesynthetic 24Ala Arg Trp Gly Val Arg Arg Asp Tyr Tyr Tyr Tyr
Gly Met Asp Val1 5 10 1525360DNAArtificial Sequencesynthetic
25caggtgcagc tggtggagtc tgggggaggc ttggtcaagc ctggagggtc cctgagactc
60tcctgtgcag cctctggatt caccttccgt gactactcca tgagctggat ccgccaggct
120ccagggaagg ggctggagtg ggtttcatac gttacttttt ttaatagtgc
catatactac 180gcagactctg tgaagggccg attcaccatc tccagggaca
acgccaagaa ctcactgtat 240ctgcaaatga acagcctgag agccgaggac
acggccgtat attactgtgc gagagaaaga 300gagcctattg tggggggctt
tgactactgg ggccagggaa ccctggtcac cgtctcctca 36026120PRTArtificial
Sequencesynthetic 26Gln Val Gln Leu Val Glu Ser Gly Gly Gly Leu Val
Lys Pro Gly Gly1 5 10 15Ser Leu Arg Leu Ser Cys Ala Ala Ser Gly Phe
Thr Phe Arg Asp Tyr 20 25 30Ser Met Ser Trp Ile Arg Gln Ala Pro Gly
Lys Gly Leu Glu Trp Val 35 40 45Ser Tyr Val Thr Phe Phe Asn Ser Ala
Ile Tyr Tyr Ala Asp Ser Val 50 55 60Lys Gly Arg Phe Thr Ile Ser Arg
Asp Asn Ala Lys Asn Ser Leu Tyr65 70 75 80Leu Gln Met Asn Ser Leu
Arg Ala Glu Asp Thr Ala Val Tyr Tyr Cys 85 90 95Ala Arg Glu Arg Glu
Pro Ile Val Gly Gly Phe Asp Tyr Trp Gly Gln 100 105 110Gly Thr Leu
Val Thr Val Ser Ser 115 1202724DNAArtificial Sequencesynthetic
27ggattcacct tccgtgacta ctcc 24288PRTArtificial Sequencesynthetic
28Gly Phe Thr Phe Arg Asp Tyr Ser1 52924DNAArtificial
Sequencesynthetic 29gttacttttt ttaatagtgc cata 24308PRTArtificial
Sequencesynthetic 30Val Thr Phe Phe Asn Ser Ala Ile1
53139DNAArtificial Sequencesynthetic 31gcgagagaaa gagagcctat
tgtggggggc tttgactac 393213PRTArtificial Sequencesynthetic 32Ala
Arg Glu Arg Glu Pro Ile Val Gly Gly Phe Asp Tyr1 5
1033324DNAArtificial Sequencesynthetic 33gacatccaga tgacccagtc
tccatcctcc ctgtctgcat ctgtaggaga cagagtcacc 60atcacttgcc gggcaagtca
gagcattagc agctatttaa attggtatca gcagaaacca 120gggaaagccc
ctaagctcct gatctatgct gcatccagtt tgcaaagtgg ggtcccgtca
180aggttcagtg gcagtggatc tgggacagat ttcactctca ccatcagcag
tctgcaacct 240gaagattttg caacttacta ctgtcaacag agttacagta
cccctccgat caccttcggc 300caagggacac gactggagat taaa
32434108PRTArtificial Sequencesynthetic 34Asp Ile Gln Met Thr Gln
Ser Pro Ser Ser Leu Ser Ala Ser Val Gly1 5 10 15Asp Arg Val Thr Ile
Thr Cys Arg Ala Ser Gln Ser Ile Ser Ser Tyr 20 25 30Leu Asn Trp Tyr
Gln Gln Lys Pro Gly Lys Ala Pro Lys Leu Leu Ile 35 40 45Tyr Ala Ala
Ser Ser Leu Gln Ser Gly Val Pro Ser Arg Phe Ser Gly 50 55 60Ser Gly
Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro65 70 75
80Glu Asp Phe Ala Thr Tyr Tyr Cys Gln Gln Ser Tyr Ser Thr Pro Pro
85 90 95Ile Thr Phe Gly Gln Gly Thr Arg Leu Glu Ile Lys 100
1053518DNAArtificial Sequencesynthetic 35cagagcatta gcagctat
18366PRTArtificial Sequencesynthetic 36Gln Ser Ile Ser Ser Tyr1
5379DNAArtificial Sequencesynthetic 37gctgcatcc 9383PRTArtificial
Sequencesynthetic 38Ala Ala Ser13930DNAArtificial Sequencesynthetic
39caacagagtt acagtacccc tccgatcacc 304010PRTArtificial
Sequencesynthetic 40Gln Gln Ser Tyr Ser Thr Pro Pro Ile Thr1 5
1041354DNAArtificial Sequencesynthetic 41gaggtgcagc tggtggagtc
tgggggaggc ttggtccagc ctggggggtc cctgagactc 60tcctgtgcag cctccggatt
caccttcagt aggaataata tgcactgggt ccgccaggct 120ccagggaagg
gactggaata tgtttcaggt attagtagta atgggggtcg cacatattat
180gcagactctg tgaagggcag attcaccatc tccagagaca attccaagaa
cacgctgtat 240cttcaaatgg gcggcctgag agctgcggac atggctgtgt
atttctgtac gagagatgac 300gagctgcttt cctttgacta ctggggccag
ggaaccctgg tcactgtctc ctca 35442118PRTArtificial Sequencesynthetic
42Glu Val Gln Leu Val Glu Ser Gly Gly Gly Leu Val Gln Pro Gly Gly1
5 10 15Ser Leu Arg Leu Ser Cys Ala Ala Ser Gly Phe Thr Phe Ser Arg
Asn 20 25 30Asn Met His Trp Val Arg Gln Ala Pro Gly Lys Gly Leu Glu
Tyr Val 35 40 45Ser Gly Ile Ser Ser Asn Gly Gly Arg Thr Tyr Tyr Ala
Asp Ser Val 50 55 60Lys Gly Arg Phe Thr Ile Ser Arg Asp Asn Ser Lys
Asn Thr Leu Tyr65 70 75 80Leu Gln Met Gly Gly Leu Arg Ala Ala Asp
Met Ala Val Tyr Phe Cys 85 90 95Thr Arg Asp Asp Glu Leu Leu Ser Phe
Asp Tyr Trp Gly Gln Gly Thr 100 105 110Leu Val Thr Val Ser Ser
1154324DNAArtificial Sequencesynthetic 43ggattcacct tcagtaggaa taat
24448PRTArtificial Sequencesynthetic 44Gly Phe Thr Phe Ser Arg Asn
Asn1 54524DNAArtificial Sequencesynthetic 45attagtagta atgggggtcg
caca 24468PRTArtificial Sequencesynthetic 46Ile Ser Ser Asn Gly Gly
Arg Thr1 54733DNAArtificial Sequencesynthetic 47acgagagatg
acgagctgct ttcctttgac tac 334811PRTArtificial Sequencesynthetic
48Thr Arg Asp Asp Glu Leu Leu Ser Phe Asp Tyr1 5
1049875PRTArtificial SequencehMUC16 membrane-proximal domain
(P13810-P14451).mFc ; Accession# NP_078966 49Pro Gly Ser Arg Lys
Phe Asn Thr Thr Glu Arg Val Leu Gln Gly Leu1 5 10 15Leu Arg Pro Leu
Phe Lys Asn Thr Ser Val Gly Pro Leu Tyr Ser Gly 20 25 30Cys Arg Leu
Thr Leu Leu Arg Pro Glu Lys Asp Gly Glu Ala Thr Gly 35 40 45Val Asp
Ala Ile Cys Thr His Arg Pro Asp Pro Thr Gly Pro Gly Leu 50 55 60Asp
Arg Glu Gln Leu Tyr Leu Glu Leu Ser Gln Leu Thr His Ser Ile65 70 75
80Thr Glu Leu Gly Pro Tyr Thr Leu Asp Arg Asp Ser Leu Tyr Val Asn
85 90 95Gly Phe Thr His Arg Ser Ser Val Pro Thr Thr Ser Thr Gly Val
Val 100 105 110Ser Glu Glu Pro Phe Thr Leu Asn Phe Thr Ile Asn Asn
Leu Arg Tyr 115 120 125Met Ala Asp Met Gly Gln Pro Gly Ser Leu Lys
Phe Asn Ile Thr Asp 130 135 140Asn Val Met Gln His Leu Leu Ser Pro
Leu Phe Gln Arg Ser Ser Leu145 150 155 160Gly Ala Arg Tyr Thr Gly
Cys Arg Val Ile Ala Leu Arg Ser Val Lys 165 170 175Asn Gly Ala Glu
Thr Arg Val Asp Leu Leu Cys Thr Tyr Leu Gln Pro 180 185 190Leu Ser
Gly Pro Gly Leu Pro Ile Lys Gln Val Phe His Glu Leu Ser 195 200
205Gln Gln Thr His Gly Ile Thr Arg Leu Gly Pro Tyr Ser Leu Asp Lys
210 215 220Asp Ser Leu Tyr Leu Asn Gly Tyr Asn Glu Pro Gly Pro Asp
Glu Pro225 230 235 240Pro Thr Thr Pro Lys Pro Ala Thr Thr Phe Leu
Pro Pro Leu Ser Glu 245 250 255Ala Thr Thr Ala Met Gly Tyr His Leu
Lys Thr Leu Thr Leu Asn Phe 260 265 270Thr Ile Ser Asn Leu Gln Tyr
Ser Pro Asp Met Gly Lys Gly Ser Ala 275 280 285Thr Phe Asn Ser Thr
Glu Gly Val Leu Gln His Leu Leu Arg Pro Leu 290 295 300Phe Gln Lys
Ser Ser Met Gly Pro Phe Tyr Leu Gly Cys Gln Leu Ile305 310 315
320Ser Leu Arg Pro Glu Lys Asp Gly Ala Ala Thr Gly Val Asp Thr Thr
325 330 335Cys Thr Tyr His Pro Asp Pro Val Gly Pro Gly Leu Asp Ile
Gln Gln 340 345 350Leu Tyr Trp Glu Leu Ser Gln Leu Thr His Gly Val
Thr Gln Leu Gly 355 360 365Phe Tyr Val Leu Asp Arg Asp Ser Leu Phe
Ile Asn Gly Tyr Ala Pro 370 375 380Gln Asn Leu Ser Ile Arg Gly Glu
Tyr Gln Ile Asn Phe His Ile Val385 390 395 400Asn Trp Asn Leu Ser
Asn Pro Asp Pro Thr Ser Ser Glu Tyr Ile Thr 405 410 415Leu Leu Arg
Asp Ile Gln Asp Lys Val Thr Thr Leu Tyr Lys Gly Ser 420 425 430Gln
Leu His Asp Thr Phe Arg Phe Cys Leu Val Thr Asn Leu Thr Met 435 440
445Asp Ser Val Leu Val Thr Val Lys Ala Leu Phe Ser Ser Asn Leu Asp
450 455 460Pro Ser Leu Val Glu Gln Val Phe Leu Asp Lys Thr Leu Asn
Ala Ser465 470 475 480Phe His Trp Leu Gly Ser Thr Tyr Gln Leu Val
Asp Ile His Val Thr 485 490 495Glu Met Glu Ser Ser Val Tyr Gln Pro
Thr Ser Ser Ser Ser Thr Gln 500 505 510His Phe Tyr Leu Asn Phe Thr
Ile Thr Asn Leu Pro Tyr Ser Gln Asp 515 520 525Lys Ala Gln Pro Gly
Thr Thr Asn Tyr Gln Arg Asn Lys Arg Asn Ile 530 535 540Glu Asp Ala
Leu Asn Gln Leu Phe Arg Asn Ser Ser Ile Lys Ser Tyr545 550 555
560Phe Ser Asp Cys Gln Val Ser Thr Phe Arg Ser Val Pro Asn Arg His
565 570 575His Thr Gly Val Asp Ser Leu Cys Asn Phe Ser Pro Leu Ala
Arg Arg 580 585 590Val Asp Arg Val Ala Ile Tyr Glu Glu Phe Leu Arg
Met Thr Arg Asn 595 600 605Gly Thr Gln Leu Gln Asn Phe Thr Leu Asp
Arg Ser Ser Val Leu Val 610 615 620Asp Gly Tyr Ser Pro Asn Arg Asn
Glu Pro Leu Thr Gly Asn Ser Asp625 630 635 640Leu Pro Glu Pro Arg
Gly Pro Thr Ile Lys Pro Cys Pro Pro Cys Lys 645 650 655Cys Pro Ala
Pro Asn Leu Leu Gly Gly Pro Ser Val Phe Ile Phe Pro 660 665 670Pro
Lys Ile Lys Asp Val Leu Met Ile Ser Leu Ser Pro Ile Val Thr 675 680
685Cys Val Val Val Asp Val Ser Glu Asp Asp Pro Asp Val Gln Ile Ser
690 695 700Trp Phe Val Asn Asn Val Glu Val His Thr Ala Gln Thr Gln
Thr His705 710 715 720Arg Glu Asp Tyr Asn Ser Thr Leu Arg Val Val
Ser Ala Leu Pro Ile 725 730 735Gln His Gln Asp Trp Met Ser Gly Lys
Glu Phe Lys Cys Lys Val Asn 740 745 750Asn Lys Asp Leu Pro Ala Pro
Ile Glu Arg Thr Ile Ser Lys Pro Lys 755 760 765Gly Ser Val Arg Ala
Pro Gln Val Tyr Val Leu Pro Pro Pro Glu Glu 770 775 780Glu Met Thr
Lys Lys Gln Val Thr Leu Thr Cys Met Val Thr Asp Phe785 790
795 800Met Pro Glu Asp Ile Tyr Val Glu Trp Thr Asn Asn Gly Lys Thr
Glu 805 810 815Leu Asn Tyr Lys Asn Thr Glu Pro Val Leu Asp Ser Asp
Gly Ser Tyr 820 825 830Phe Met Tyr Ser Lys Leu Arg Val Glu Lys Lys
Asn Trp Val Glu Arg 835 840 845Asn Ser Tyr Ser Cys Ser Val Val His
Glu Gly Leu His Asn His His 850 855 860Thr Thr Lys Ser Phe Ser Arg
Thr Pro Gly Lys865 870 87550367PRTArtificial SequencehCD28 ecto
(N19-P152).mFc ; Accession# NP_006130 50Asn Lys Ile Leu Val Lys Gln
Ser Pro Met Leu Val Ala Tyr Asp Asn1 5 10 15Ala Val Asn Leu Ser Cys
Lys Tyr Ser Tyr Asn Leu Phe Ser Arg Glu 20 25 30Phe Arg Ala Ser Leu
His Lys Gly Leu Asp Ser Ala Val Glu Val Cys 35 40 45Val Val Tyr Gly
Asn Tyr Ser Gln Gln Leu Gln Val Tyr Ser Lys Thr 50 55 60Gly Phe Asn
Cys Asp Gly Lys Leu Gly Asn Glu Ser Val Thr Phe Tyr65 70 75 80Leu
Gln Asn Leu Tyr Val Asn Gln Thr Asp Ile Tyr Phe Cys Lys Ile 85 90
95Glu Val Met Tyr Pro Pro Pro Tyr Leu Asp Asn Glu Lys Ser Asn Gly
100 105 110Thr Ile Ile His Val Lys Gly Lys His Leu Cys Pro Ser Pro
Leu Phe 115 120 125Pro Gly Pro Ser Lys Pro Glu Pro Arg Gly Pro Thr
Ile Lys Pro Cys 130 135 140Pro Pro Cys Lys Cys Pro Ala Pro Asn Leu
Leu Gly Gly Pro Ser Val145 150 155 160Phe Ile Phe Pro Pro Lys Ile
Lys Asp Val Leu Met Ile Ser Leu Ser 165 170 175Pro Ile Val Thr Cys
Val Val Val Asp Val Ser Glu Asp Asp Pro Asp 180 185 190Val Gln Ile
Ser Trp Phe Val Asn Asn Val Glu Val His Thr Ala Gln 195 200 205Thr
Gln Thr His Arg Glu Asp Tyr Asn Ser Thr Leu Arg Val Val Ser 210 215
220Ala Leu Pro Ile Gln His Gln Asp Trp Met Ser Gly Lys Glu Phe
Lys225 230 235 240Cys Lys Val Asn Asn Lys Asp Leu Pro Ala Pro Ile
Glu Arg Thr Ile 245 250 255Ser Lys Pro Lys Gly Ser Val Arg Ala Pro
Gln Val Tyr Val Leu Pro 260 265 270Pro Pro Glu Glu Glu Met Thr Lys
Lys Gln Val Thr Leu Thr Cys Met 275 280 285Val Thr Asp Phe Met Pro
Glu Asp Ile Tyr Val Glu Trp Thr Asn Asn 290 295 300Gly Lys Thr Glu
Leu Asn Tyr Lys Asn Thr Glu Pro Val Leu Asp Ser305 310 315 320Asp
Gly Ser Tyr Phe Met Tyr Ser Lys Leu Arg Val Glu Lys Lys Asn 325 330
335Trp Val Glu Arg Asn Ser Tyr Ser Cys Ser Val Val His Glu Gly Leu
340 345 350His Asn His His Thr Thr Lys Ser Phe Ser Arg Thr Pro Gly
Lys 355 360 36551669PRTArtificial SequencehMUC16 membrane-proximal
domain (P13810-P14451).mmH 51Gly Ser Arg Lys Phe Asn Thr Thr Glu
Arg Val Leu Gln Gly Leu Leu1 5 10 15Arg Pro Leu Phe Lys Asn Thr Ser
Val Gly Pro Leu Tyr Ser Gly Cys 20 25 30Arg Leu Thr Leu Leu Arg Pro
Glu Lys Asp Gly Glu Ala Thr Gly Val 35 40 45Asp Ala Ile Cys Thr His
Arg Pro Asp Pro Thr Gly Pro Gly Leu Asp 50 55 60Arg Glu Gln Leu Tyr
Leu Glu Leu Ser Gln Leu Thr His Ser Ile Thr65 70 75 80Glu Leu Gly
Pro Tyr Thr Leu Asp Arg Asp Ser Leu Tyr Val Asn Gly 85 90 95Phe Thr
His Arg Ser Ser Val Pro Thr Thr Ser Thr Gly Val Val Ser 100 105
110Glu Glu Pro Phe Thr Leu Asn Phe Thr Ile Asn Asn Leu Arg Tyr Met
115 120 125Ala Asp Met Gly Gln Pro Gly Ser Leu Lys Phe Asn Ile Thr
Asp Asn 130 135 140Val Met Gln His Leu Leu Ser Pro Leu Phe Gln Arg
Ser Ser Leu Gly145 150 155 160Ala Arg Tyr Thr Gly Cys Arg Val Ile
Ala Leu Arg Ser Val Lys Asn 165 170 175Gly Ala Glu Thr Arg Val Asp
Leu Leu Cys Thr Tyr Leu Gln Pro Leu 180 185 190Ser Gly Pro Gly Leu
Pro Ile Lys Gln Val Phe His Glu Leu Ser Gln 195 200 205Gln Thr His
Gly Ile Thr Arg Leu Gly Pro Tyr Ser Leu Asp Lys Asp 210 215 220Ser
Leu Tyr Leu Asn Gly Tyr Asn Glu Pro Gly Pro Asp Glu Pro Pro225 230
235 240Thr Thr Pro Lys Pro Ala Thr Thr Phe Leu Pro Pro Leu Ser Glu
Ala 245 250 255Thr Thr Ala Met Gly Tyr His Leu Lys Thr Leu Thr Leu
Asn Phe Thr 260 265 270Ile Ser Asn Leu Gln Tyr Ser Pro Asp Met Gly
Lys Gly Ser Ala Thr 275 280 285Phe Asn Ser Thr Glu Gly Val Leu Gln
His Leu Leu Arg Pro Leu Phe 290 295 300Gln Lys Ser Ser Met Gly Pro
Phe Tyr Leu Gly Cys Gln Leu Ile Ser305 310 315 320Leu Arg Pro Glu
Lys Asp Gly Ala Ala Thr Gly Val Asp Thr Thr Cys 325 330 335Thr Tyr
His Pro Asp Pro Val Gly Pro Gly Leu Asp Ile Gln Gln Leu 340 345
350Tyr Trp Glu Leu Ser Gln Leu Thr His Gly Val Thr Gln Leu Gly Phe
355 360 365Tyr Val Leu Asp Arg Asp Ser Leu Phe Ile Asn Gly Tyr Ala
Pro Gln 370 375 380Asn Leu Ser Ile Arg Gly Glu Tyr Gln Ile Asn Phe
His Ile Val Asn385 390 395 400Trp Asn Leu Ser Asn Pro Asp Pro Thr
Ser Ser Glu Tyr Ile Thr Leu 405 410 415Leu Arg Asp Ile Gln Asp Lys
Val Thr Thr Leu Tyr Lys Gly Ser Gln 420 425 430Leu His Asp Thr Phe
Arg Phe Cys Leu Val Thr Asn Leu Thr Met Asp 435 440 445Ser Val Leu
Val Thr Val Lys Ala Leu Phe Ser Ser Asn Leu Asp Pro 450 455 460Ser
Leu Val Glu Gln Val Phe Leu Asp Lys Thr Leu Asn Ala Ser Phe465 470
475 480His Trp Leu Gly Ser Thr Tyr Gln Leu Val Asp Ile His Val Thr
Glu 485 490 495
References